NPI 1043460140

Olivia Deeanna Tash, PTLMT

Practitioner Massage Therapist Brandon, FL

Practice location

Address: 749 W Lumsden Rd, Brandon, FL 33511-6261
Phone: (813) 681-6333
Mailing address: 407 Sonoma Dr, Valrico, FL 33594-3041

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MM37863 (FL)

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Registry record

NPI: 1043460140
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2008
Record last updated: 24 Sep 2008

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.