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Mr. Daniel Edward De La Garza, LMT
Massage Therapist in Melbourne, Florida
NPI 1861685273

Daniel Edward De La Garza is a Massage Therapist based in Melbourne, FL. Daniel Edward De La Garza practices in Melbourne, FL and has the professional credentials of LMT. The NPI Number for Daniel Edward De La Garza is 1861685273 and holds a License No. MA 47051 (Florida).

The current practice location address for Daniel Edward De La Garza is 6300 N Wickham Rd, Melbourne, FL and can be reached out via phone at 321-536-2173.

Location: 6300 N Wickham Rd, Melbourne, FL, 32940-2334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861685273
Provider Name
Daniel Edward De La Garza
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
6300 N Wickham Rd, Melbourne, FL, 32940-2334
Phone Number
321-536-2173
Fax Number
Provider Enumeration Date
08/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6300 N Wickham Rd
City
Melbourne
State
Florida
Zip
32940-2028
Phone Number
321-536-2173
Fax Number
person
Provider Business Mailing Address Details
Address
6300 N Wickham Rd
City
Melbourne
State
Florida
Zip
32940-2028
Phone Number
321-536-2173
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 47051 (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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