Ronald G. Dibble, LMT Valid NPI

Individual provider · Massage Therapist · Fort Walton Beach, FL

NPI

1114223450

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

MA28420 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-02-03

Last updated

2011-02-03