MS. Donna Ann Lewallen, L.M.T.

NPI #1528379005 in Santa Rosa Beach, Florida

Provider Information

NPI Number: 1528379005
Entity Type: Individual
Name: MS. Donna Ann Lewallen, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Jun 29, 2010
Last Updated: Jun 29, 2010

Practice Location

Address: 125 WINSTON MANOR RD
City: Santa Rosa Beach
State: Florida
ZIP Code: 32459-3464
Phone: (850) 622-1023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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