Individual provider · Type 1 NPI

Mary A. Lange, LMT

Massage Therapist · Flagler Beach, FL

NPI number 1093837650 Active

Practice location

210 Moody Blvd
Flagler Beach, FL 32136-3372

Fax (386) 439-6605

Mailing address

PO Box 1853
Flagler Beach, FL 32136-1853

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA0012657 (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 1093837650

Mary A. Lange, LMT's National Provider Identifier is 1093837650, issued on Apr 4, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Flagler Beach, FL. The record was last updated on Jul 8, 2007.