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Wayne Brack, LMT, NCMTB
NPI 1164720355 · on the registry since 2011 · sole proprietor
Practice
- Address
- 236 Sw Port St Lucie Blvd
Port Saint Lucie, FL 34984 - Phone
- (772) 807-1785
- Fax
- (772) 905-8314
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida