Provider Demographics
NPI:1336829233
Name:DUSS, DEANNA CAROLINA (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:CAROLINA
Last Name:DUSS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15532 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-9570
Mailing Address - Country:US
Mailing Address - Phone:407-842-9794
Mailing Address - Fax:
Practice Address - Street 1:15532 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-9570
Practice Address - Country:US
Practice Address - Phone:407-842-9794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL87517225700000X
FLMA87517225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist