Provider Demographics
NPI:1033544648
Name:BINET, DEBROAH ANN (DEBORAH BINET, LMT)
Entity Type:Individual
Prefix:MS
First Name:DEBROAH
Middle Name:ANN
Last Name:BINET
Suffix:
Gender:F
Credentials:DEBORAH BINET, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 NW SPRUCE RIDGE DR
Mailing Address - Street 2:APT 7
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-9574
Mailing Address - Country:US
Mailing Address - Phone:772-418-2066
Mailing Address - Fax:
Practice Address - Street 1:1680 SW BAYSHORE BLVD
Practice Address - Street 2:STE. 227
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-3500
Practice Address - Country:US
Practice Address - Phone:772-828-1599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA51274225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
N/AOtherMASSAGE THERAPY