RONDA PANUCCI MASSAGE LLC NPI 1144343344

NPI Information

NPI: 1144343344
Provider Name: RONDA PANUCCI MASSAGE, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
1078 S FERDON BLVD
SUITE B
CRESTVIEW, FL
ZIP 32536
Phone: (850) 683-1125
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RONDA PANUCCI MASSAGE, LLC is a massage therapist in Crestview, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. RONDA PANUCCI MASSAGE, LLC NPI is 1144343344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1078 S FERDON BLVD
SUITE B
CRESTVIEW, FL
ZIP 32536-510
Phone: (850) 683-1125
Fax: (850) 683-0981

The provider's authorized official is Ronda Lee Panucci .
The authorized official title is Owner and has the following contact phone number (850) 683-1125.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA0016952	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C6565	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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