NPI 1396580775 · live from the CMS NPI Registry
Deshon W Allen, LMT
Massage Therapist in Orlando, FL. National Provider Identifier 1396580775, active.
NPI record
| NPI | 1396580775 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 13550 Village Park Dr Ste 205, Orlando, FL 32837 |
| Practice phone | 407-863-6930 |
| Mailing address | 14627 Gateway Point Cir Apt 15302, Orlando, FL 32821 |
| Enumerated | June 27, 2024 |
| Last updated | June 27, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MA99401 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.