MS. Brenda Davenport, LMT

NPI #1750690079 in Saint Cloud, Florida

Provider Information

NPI Number: 1750690079
Entity Type: Individual
Name: MS. Brenda Davenport, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 4, 2010
Last Updated: Oct 4, 2010

Practice Location

Address: 3244 LORIMAR LN
City: Saint Cloud
State: Florida
ZIP Code: 34772-6503
Phone: (407) 957-7694

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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