Roberta Ruth Broussard LMT

  • NPI 1770761256
According to our database, the NPI number for Roberta Ruth Broussard LMT is 1770761256 and activated since 16 years ago. Roberta Ruth Broussard LMT is an individual provider who specializes in Massage Therapist, and the primary practice location is 4400 Bayou Blvd, Pensacola, FL 32503. You can also contact Roberta Ruth Broussard LMT via telephone number is (850) 516-4574. Provider NPI information was last updated on 02/06/2008.

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Overview of Roberta Ruth Broussard LMT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/06/2008
  • Last updated: 02/06/2008

Primary Scrop of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: MA33306
  • License State: FL

Provider Mailing Address

  • Address: 4400 Bayou Blvd
    Suite 47b
    Pensacola, FL 32503
  • Phone: 850-516-4574
  • Fax:

Provider Practice Location

  • Address: 4400 Bayou Blvd
    Suite 47b
    Pensacola, FL 32503
  • Phone: 850-516-4574
  • Fax:

Scope of Practice

  • Taxonomy Code: 225700000X
  • Specialty: Massage Therapist
  • License Number: MA33306
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: C2164
  • Identifier Type: Other
  • Identifier State: FL
  • Issuer: BLUE CROSS BLUE SHIELD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Roberta Ruth Broussard LMT?
  • A: The npi number for Roberta Ruth Broussard LMT is 1770761256.
  • Q: What are Roberta Ruth Broussard LMT's specialties?
  • A: Roberta Ruth Broussard LMT's specialties are Massage Therapist and different specialities.
  • Q: What is the medical license for Roberta Ruth Broussard LMT?
  • A: The medical license number for Roberta Ruth Broussard LMT is MA33306 and issued in FL in USA.
  • Q: Where is Roberta Ruth Broussard LMT practice location?
  • A: Roberta Ruth Broussard LMT is practicing at 4400 Bayou Blvd, Pensacola, FL 32503.
  • Q: How to contact Roberta Ruth Broussard LMT?
  • A: You can contact Roberta Ruth Broussard LMT via 850-516-4574.