Dona Delagracia, LMT
Massage Therapist in Melbourne, FL. Individual provider (NPI-1).
NPI number1467902429
StatusActive
Last updated in NPPESOct 13, 2016
Details
- NPI
- 1467902429
- Entity type
- Individual (NPI-1)
- Name
- Dona Delagracia
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2016
- Last updated
- Oct 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA69976 | FL | Yes |
Other names
- Dona Delagracia (Former Name)
Practice location
3870 Dairy Rd Ste 101Melbourne, FL 32904-7605
Phone 321-373-2100 · Fax 844-272-1733
Mailing address
3870 Dairy Rd Ste 101Melbourne, FL 32904-7605
Phone 321-373-2100 · Fax 844-272-1733
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