person
Derek Lee Bonilla, LMT
Massage Therapist in Deltona, Florida
NPI 1851054134

Derek Lee Bonilla is a Massage Therapist based in Deltona, FL. Derek Lee Bonilla practices in Deltona, FL and has the professional credentials of LMT. The NPI Number for Derek Lee Bonilla is 1851054134 and holds a License No. 57436 (Florida).

The current practice location address for Derek Lee Bonilla is 1206 W Wellington Dr, Deltona, FL and can be reached out via phone at 407-314-3351.

Location: 1206 W Wellington Dr, Deltona, FL, 32725-7036
person
Provider Profile Details
NPI Number
1851054134
Provider Name
Derek Lee Bonilla
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1206 W Wellington Dr, Deltona, FL, 32725-7036
Phone Number
407-314-3351
Fax Number
Provider Enumeration Date
10/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1206 W Wellington Dr
City
State
Zip
32725-7036
Phone Number
407-314-3351
Fax Number
person
Provider Business Mailing Address Details
Address
1206 W Wellington Dr
City
State
Zip
32725-7036
Phone Number
407-314-3351
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
57436 (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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