Individual provider · Type 1 NPI

Amanda Sharon Lange, L.M.T.

Massage Therapist · Edgewater, FL

NPI number 1144622945 Active

Practice location

315 N Ridgewood Ave
Edgewater, FL 32132-1617

Call (386) 427-8403 Map

Mailing address

2811 Vista Palm Dr
Edgewater, FL 32141-5513

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA34247 (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 1144622945

Amanda Sharon Lange, L.M.T.'s National Provider Identifier is 1144622945, issued on Sep 23, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Edgewater, FL. The record was last updated on Sep 23, 2014.