Autumn Brooke Neilson, L.M.T

NPI #1225298839 in Cocoa Beach, Florida

Provider Information

NPI Number
1225298839
Entity Type
Individual
Name
Autumn Brooke Neilson, L.M.T
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
L.M.T
Enumeration Date
Jun 17, 2008
Last Updated
Jun 17, 2008

Practice Location

Address
173 N ORLANDO AVE
State
Florida
ZIP Code
32931-2914
Phone
(321) 783-2029

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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