Individual
DEBORAH BRUGH WEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
120 FAULKNER ST, NEW SMYRNA BEACH, FL 32168-7018
(386) 428-0723
(386) 428-0723
Mailing address
PO BOX 645, NEW SMYRNA BEACH, FL 32170-0645
(386) 428-0723
(386) 428-0723
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA7990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689214196
—
FL
01
—
C5173
BLUECROSS BLUESHIELD
FL
Enumeration date
04/02/2007
Last updated
11/11/2010
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