Individual provider · Type 1 NPI

Elizebeth J. Shalala, LMT

Massage Therapist · Titusville, FL

NPI number 1336371640 Active

Practice location

11 Main St Ste 2
Titusville, FL 32796-3590

Call (321) 225-9788 Map

Mailing address

969 Country Club Dr
Titusville, FL 32780-4985

Specialties and licenses

TaxonomyCodeLicense
Phlebotomy Technician 246RP1900X3019910435 (NY)
Other Specialist/Technologist 246Z00000X3019910444 (NY)
Other Specialist/Technologist 246Z00000X3019910440 (NY)
Massage Therapist Primary 225700000XMA103702 (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 1336371640

Elizebeth J. Shalala, LMT's National Provider Identifier is 1336371640, issued on Aug 20, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Titusville, FL. The record was last updated on Nov 1, 2023.