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Brandi Sturdivant, LMT

Massage Therapist in Daytona Beach, FL. Individual provider (NPI-1).

NPI number1164200028
StatusActive
Last updated in NPPESSep 20, 2023

Details

NPI
1164200028
Entity type
Individual (NPI-1)
Name
Brandi Sturdivant
Credential
LMT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2023
Certification date
Sep 20, 2023
Last updated
Sep 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA81240FLYes

Practice location

180 Acklins Cir Apt 111
Daytona Beach, FL 32119-9786

Phone 386-627-5750

Mailing address

180 Acklins Cir Apt 111
Daytona Beach, FL 32119-9786

Phone 386-627-5750

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