MR. Wayne Alan Brack, LMT, NCMTB
NPI #1164720355 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1164720355
- Entity Type
- Individual
- Name
- MR. Wayne Alan Brack, LMT, NCMTB
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT, NCMTB
- Enumeration Date
- Mar 11, 2011
- Last Updated
- Mar 11, 2011
Practice Location
- Address
- 236 SW PORT ST LUCIE BLVD
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34984-5044
- Phone
- (772) 807-1785
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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