Ladon Stacy Lewis in Daytona Beach - Massage Therapist

Ladon Stacy Lewis - NPI 1104084300

Ladon Stacy Lewis is a Massage Therapist in Daytona Beach, Florida. Ladon Stacy Lewis practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Ladon Stacy Lewis is 1104084300. The last update date is 2008-05-26.

Ladon Stacy Lewis's current location address is Po Box 422, Daytona Beach, Florida. You can contact this provider via phone number 3866794996 and fax number 3863223870. The mailing address for Ladon Stacy Lewis is Po Box 422, Daytona Beach, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Ladon Stacy Lewis
Address Po Box 422, Daytona Beach, Florida
Phone Number 3866794996
Fax Number 3863223870
Sole Proprietor Y
Credentials L.M.T.

NPI Number Detail

NPI Number 1104084300
Provider Enumeration Date 2008-05-26
Last Updated Date 2008-05-26

Provider Mailing Address Detail

Address Po Box 422
City Daytona Beach
State Florida (FL)
Post Code 321150422
Phone Number 3866794996
Fax Number 3863223870

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA52351
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.

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FAQs about Ladon Stacy Lewis

What is the unique identification code assigned to Ladon Stacy Lewis by the Centers for Medicare & Medicaid Services?

The Ladon Stacy Lewis has been issued the NPI (National Provider Identifier) 1104084300. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Ladon Stacy Lewis located?

The Ladon Stacy Lewis is located at Po Box 422, Daytona Beach, FL 321150422.

What is Ladon Stacy Lewis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Ladon Stacy Lewis is Massage Therapist, and the taxonomy code that classifies this field of practice is 225700000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104084300 to Ladon Stacy Lewis?

The Centers for Medicare & Medicaid Services originally issued the 1104084300 to Ladon Stacy Lewis on 2008-05-26.

As of what date was the information pertaining to Ladon Stacy Lewis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ladon Stacy Lewis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-26.

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