IndividualActive
Adam Kornecki, LMT
NPI 1609754407 · Massage Therapist · Port Orange, FL
Provider details
- NPI number
- 1609754407
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA102884 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4550 Clyde Morris Blvd Ste E
Port Orange, FL 32129-4080
Phone: (386) 341-9509
Approximate (ZIP-level) locationGet directions
Mailing address
777 Sandy Hill Cir
Port Orange, FL 32127-7795
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.