Individual provider · Type 1 NPI

Roberta Ruth Broussard, LMT

Massage Therapist · Pensacola, FL

NPI number 1770761256 Active

Practice location

4400 Bayou Blvd, Suite 47B
Pensacola, FL 32503-2673

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA33306 (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 1770761256

Roberta Ruth Broussard, LMT's National Provider Identifier is 1770761256, issued on Feb 6, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pensacola, FL. The record was last updated on Feb 6, 2008.