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Deloris Ann Brockner, RN,LMT
Massage Therapist in Marianna, Florida
NPI 1154094084

Deloris Ann Brockner is a Massage Therapist based in Marianna, FL. Deloris Ann Brockner practices in Marianna, FL and has the professional credentials of RN,LMT. The NPI Number for Deloris Ann Brockner is 1154094084 and holds a License No. MA90046 (Florida).

The current practice location address for Deloris Ann Brockner is 2946 Jefferson St, Marianna, FL and can be reached out via phone at 850-526-3211. You can also correspond with Deloris Ann Brockner through the mailing address at 2946 JEFFERSON ST, MARIANNA, FL - 32446-3140 (mailing address contact number: 850-526-3211).

Location: 2946 Jefferson St, Marianna, FL, 32446-3140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154094084
Provider Name
Deloris Ann Brockner
Credential
RN,LMT
Provider Entity Type
Individual
Gender
Female
Address
2946 Jefferson St, Marianna, FL, 32446-3140
Phone Number
850-526-3211
Fax Number
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8506939625 01 FL NON BILLABLE
institution
Provider Business Practice Location Address Details
Address
2946 Jefferson St
City
Marianna
State
Florida
Zip
32446-3140
Phone Number
850-526-3211
Fax Number
person
Provider Business Mailing Address Details
Address
2946 Jefferson St
City
Marianna
State
Florida
Zip
32446-3140
Phone Number
850-526-3211
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA90046 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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