James A Vonderheide, LMT MA49956

NPI #1184803165 in Destin, Florida

Provider Information

NPI Number
1184803165
Entity Type
Individual
Name
James A Vonderheide, LMT MA49956
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT MA49956
Enumeration Date
Oct 26, 2007
Last Updated
Oct 26, 2007

Practice Location

Address
623 HARBOR BLVD
Address 2
STE 7
City
Destin
State
Florida
ZIP Code
32541
Phone
(850) 424-3345

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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