Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Wayne Alan Brack, LMT, NCMTB

Individual provider Massage Therapist · NPI 1164720355

Mr. Wayne Alan Brack, LMT, NCMTB is a Massage Therapist in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

236 SW Port St Lucie Blvd
Port Saint Lucie, FL 34984-5044
Phone: (772) 807-1785
Fax: (772) 905-8314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA 60306 (FL)

Record details

NPI number1164720355
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT , NCMTB
Sole proprietorYes
NPI enumeratedMarch 11, 2011
Last updated in NPPESMarch 11, 2011
Mailing address236 Sw Port St Lucie Blvd, Port Saint Lucie, FL 34984-5044

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