Individual
FORREST BRET HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
725 S APOLLO BLVD, MELBOURNE, FL 32901-1457
(321) 676-3393
Mailing address
1628 MITCHELL ST APT 1A, MELBOURNE, FL 32901-4426
(321) 914-7985
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA38082
FL
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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