Individual provider · Type 1 NPI

Amanda J. Diaz, L.M.T.

Massage Therapist · Port Orange, FL

NPI number 1265683510 Active

Practice location

403 Lafayette St
Port Orange, FL 32127-4437

Call (386) 852-8737 Map

Fax (386) 868-5324

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA49043 (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 1265683510

Amanda J. Diaz, L.M.T.'s National Provider Identifier is 1265683510, issued on Oct 6, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orange, FL. The record was last updated on Oct 6, 2008.