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Miss Ronda Lee Panucci, LMT
Massage Therapist in Crestview, Florida
NPI 1508895368

Ronda Lee Panucci is a Massage Therapist based in Crestview, FL. Ronda Lee Panucci practices in Crestview, FL and has the professional credentials of LMT. The NPI Number for Ronda Lee Panucci is 1508895368 and holds a License No. MA0016952 (Florida).

The current practice location address for Ronda Lee Panucci is 1078 S Ferdon Blvd, Crestview, FL and can be reached out via phone at 850-683-1125 and via fax at 850-683-0981.

Location: 1078 S Ferdon Blvd, Crestview, FL, 32536-4510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508895368
Provider Name
Ronda Lee Panucci
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1078 S Ferdon Blvd, Crestview, FL, 32536-4510
Phone Number
850-683-1125
Fax Number
850-683-0981
Provider Enumeration Date
07/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C6565 01 FL BCBS PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1078 S Ferdon Blvd
City
Crestview
State
Florida
Zip
32536-4510
Phone Number
850-683-1125
Fax Number
850-683-0981
person
Provider Business Mailing Address Details
Address
1078 S Ferdon Blvd
City
Crestview
State
Florida
Zip
32536-4510
Phone Number
850-683-1125
Fax Number
850-683-0981
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA0016952 (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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