Falyyn Loderbauer

Individual provider Active NPI Massage Therapist · Hernando, FL

NPI 1992134159 · NPPES record last updated Nov 7, 2013

Key facts

NPI
1992134159
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA35054 (FL)
Practice address
3558 E Delight St
Hernando, FL 34442-2510
Phone
(352) 422-7921
NPI assigned
Nov 7, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA35054FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA35054 FL Yes

Addresses

Primary practice location

3558 E Delight St
Hernando, FL 34442-2510

Mailing address

3558 E Delight St
Hernando, FL 34442-2510

Other providers in Hernando, FL

All providers in Hernando, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.