Doctor Name: | DR. WILLIAM EARL BONNEY |
NPI Number: | 1295906089 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | MA0004919 |
Business Practice Address: | 1936 W Dr Martin Luther King Jr Blvd Suite 103 Tampa, FL - 33607 |
Business Phone Number: | 8138728034 |
Business Fax Number: | 8138702324 |
Mailing Address: | 1936 W Dr Mlk Jr Blvd, Suite 103 TAMPA |
State: | FL |
Postal Code: | 33607 |
Phone Number: | 8138728034 |
Fax Number: | 8138702324 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 04/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA0004919 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |