Most Relevant Information
Provider Data
| NPI Number: | 1003656646 |
| Provider Name: | BENJAMIN ROSENDAHL LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 105200 |
Most Important Dates
| Enumeration Date: | 05/30/2024 |
| Last Updated: | 05/30/2024 |
Provider Practice Location
6901A N 9TH AVE # 722
PENSACOLA
FL
325046638
Practice Location Phone/Fax
| Phone: | 8505030491 |
| Fax: |
Provider Mailing Location
6901A N 9TH AVE # 722
PENSACOLA
FL
325046638
Provider Mailing Phone/Fax
| Phone: | 8505030491 |
| Fax: |