Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA-21064 | FL |
NPI | 1013379486 |
---|---|
Provider Name | Brian Ruhmann |
First Address | Cutler Bay, FL 33157-8969 |
Second Address | Coral Gables, FL 33146-3043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 24/03/2016 |