Healthcare Provider Details

I. General information

NPI: 1255193892
Provider Name (Legal Business Name): DANIELLE HUFT LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2385 TAMPA RD STE 1
PALM HARBOR FL
34683-5851
US

IV. Provider business mailing address

7401 COUNTRY CLUB DR
HUDSON FL
34667-6803
US

V. Phone/Fax

Practice location:
  • Phone: 727-741-0885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA96057
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: