Individual provider · Type 1 NPI

Amanda Gwen Lewis, L.M.T

Massage Therapist · Melbourne, FL

NPI number 1063703502 Active

Practice location

1900 S Harbor City Blvd, Suite 104
Melbourne, FL 32901-4749

Call (321) 674-9900 Map

Mailing address

1900 S. Harbor City Boulevard, Suite 104
Melbourne, FL 32901

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA42798 (FL)

Massage Therapist: 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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About NPI 1063703502

Amanda Gwen Lewis, L.M.T's National Provider Identifier is 1063703502, issued on May 2, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Melbourne, FL. The record was last updated on May 2, 2011.