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MS. BONNIE LOUISE BIRD-LOEFFLER LMT
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1891896916
Individual Registrant:MS. BONNIE LOUISE BIRD-LOEFFLER LMT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
417 WEST RIVER RD PALATKA, FL 32177 US
Tel: 386-325-6538 Fax: 386-325-6538
Tel: 386-325-6538 Fax: 386-325-6538
Contact information for business:
417 WEST RIVER RD PALATKA, FL 32177 US
Tel: 386-325-6538 Fax: 386-325-6538
Tel: 386-325-6538 Fax: 386-325-6538
Registration Information:
NPI: 1891896916
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | FL | MA31585 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS OF FL | C1168 | FL | 01 |
