MR. WAYNE ALAN BRACK LMT NCMTB NPI 1164720355

NPI Information

  • NPI: 1164720355
  • Provider Name: MR. WAYNE ALAN BRACK, LMT, NCMTB
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 236 SW PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34984
  • Phone: (772) 807-1785

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NPI Details

MR. Wayne Alan Brack, LMT, NCMTB is a massage therapist in Port Saint Lucie, 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. MR. Wayne Alan Brack, LMT, NCMTB NPI is 1164720355. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

236 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL
ZIP 34984-044
Phone: (772) 807-1785
Fax: (772) 905-8314

The enumeration date for this NPI number is 3/11/2011 and was last updated on 3/11/2011.

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
1225700000XMassage TherapistMA 60306FLORIDAYes

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: 3/30/2025

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