Brack, Wayne Alan

Brack, Wayne Alan is an sole proprietor health care provider with primary practice located at 236 Sw Port St Lucie Blvd , Port Saint Lucie FL 34984-5044. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Brack, Wayne Alan can be contacted via phone (772) 807-1785.

Contact Information

Primary practice address
236 Sw Port St Lucie Blvd Port Saint Lucie FL 34984-5044
Phone: (772) 807-1785
Fax: (772) 905-8314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA 60306 Florida

Profile Details

NPI number 1164720355
LBN Legal business name Brack, Wayne Alan
Credentials LMT, NCMTB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2011
Last updated Mar 11th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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