NPI 1033303755

Nicole M Devine-Horner, LMT

Practitioner Massage Therapist Brandon, FL

Practice location

Address: 1447 Oakfield Dr, Brandon, FL 33511-4854
Phone: (813) 689-2204

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA30580 (FL)

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Registry record

NPI: 1033303755
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Sep 2007
Record last updated: 6 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.