Individual provider · Type 1 NPI

Derek Lee Bonilla, LMT

Massage Therapist · Deltona, FL

NPI number 1851054134 Active

Practice location

1206 W Wellington Dr
Deltona, FL 32725-7036

Call (407) 314-3351 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X57436 (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 1851054134

Derek Lee Bonilla, LMT's National Provider Identifier is 1851054134, issued on Oct 14, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Deltona, FL. The record was last updated on Oct 14, 2021.