JAMES A VONDERHEIDE LMT MA49956 NPI 1184803165

NPI Information

James A Vonderheide, LMT MA49956 is a massage therapist in Destin, 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. James A Vonderheide, LMT MA49956 NPI is 1184803165. 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:

623 HARBOR BLVD
STE 7
DESTIN, FL
ZIP 32541
Phone: (850) 424-3345
Fax: (850) 424-3346

The enumeration date for this NPI number is 10/26/2007 and was last updated on 10/26/2007.

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:

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