Individual provider · Type 1 NPI

Brenda Davenport, LMT

Massage Therapist · St. Cloud, FL

NPI number 1750690079 Active

Practice location

3244 Lorimar Ln
St. Cloud, FL 34772-6503

Call (407) 957-7694 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 52729 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1750690079

Brenda Davenport, LMT's National Provider Identifier is 1750690079, issued on Oct 4, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Cloud, FL. The record was last updated on Oct 4, 2010.