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Kevin Michael Donovan, LMT
Massage Therapist in Panama City Beach, Florida
NPI 1699898098

Kevin Michael Donovan is a Massage Therapist based in Panama City Beach, FL. Kevin Michael Donovan practices in Panama City Beach, FL and has the professional credentials of LMT. The NPI Number for Kevin Michael Donovan is 1699898098 and holds a License No. MA 44336 (Florida).

The current practice location address for Kevin Michael Donovan is 12115 Panama City Beach Pkwy, Panama City Beach, FL and can be reached out via phone at 850-236-5664.

Location: 12115 Panama City Beach Pkwy, Panama City Beach, FL, 32408-6801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699898098
Provider Name
Kevin Michael Donovan
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
12115 Panama City Beach Pkwy, Panama City Beach, FL, 32408-6801
Phone Number
850-236-5664
Fax Number
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C3954 01 FL BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
12115 Panama City Beach Pkwy
City
Panama City Beach
State
Florida
Zip
32407-2609
Phone Number
850-236-5664
Fax Number
person
Provider Business Mailing Address Details
Address
12115 Panama City Beach Pkwy
City
Panama City Beach
State
Florida
Zip
32407-2609
Phone Number
850-236-5664
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 44336 (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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