Individual provider · NPI-1

Della Rae Danley, LMT

Massage Therapist · Melbourne, FL

NPI number1710028436
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1710028436
Entity type
Individual (NPI-1)
Name
Della Rae Danley
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA28047FLYes

Practice location

529 E New Haven Ave
Melbourne, FL 32901-5461

Phone 321-768-7575

Mailing address

1994 Ford Cir N
Melbourne, FL 32935-3983

Phone 321-242-7719

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