Angela S Wanless Valid NPI

Individual provider · Massage Therapist · Fort Walton Beach, FL

NPI

1861662652

Type

Individual (Type 1)

Primary specialty

Massage Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225700000X

License number

MA31729 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-03-07

Last updated

2008-03-07