AUDRY BONILLA NPI 1922854231

NPI Information

  • NPI: 1922854231
  • Provider Name: AUDRY BONILLA
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 5140 KEYSER MILL RD
    BAKER, FL
    ZIP 32531
  • Phone: (815) 557-3004

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NPI Details

Audry Bonilla is a massage therapist in Baker, 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. Audry Bonilla NPI is 1922854231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5140 KEYSER MILL RD
BAKER, FL
ZIP 32531-354
Phone: (815) 557-3004

The enumeration date for this NPI number is 4/26/2024 and was last updated on 4/26/2024.

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 TherapistMA97730FLORIDAYes

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: 11/21/2025

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