Individual provider · Type 1 NPI
Dianalynne E. Fortin, LMT
Massage Therapist · St. Augustine, FL
NPI number
1295973998
Active
Practice location
344 Paseo Reyes Dr
St. Augustine, FL 32095-8464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA40618 (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 1295973998
Dianalynne E. Fortin, LMT's National Provider Identifier is 1295973998, issued on Feb 3, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 21, 2010.