Individual provider · Type 1 NPI
Melissa Dale Hall, LMT
Massage Therapist · St. Augustine, FL
NPI number
1376668087
Active
Practice location
2155 Old Moultrie Rd, 107
St. Augustine, FL 32086-5102
Mailing address
2945 Kings Rd, Lot B
St. Augustine, FL 32086-5467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA22809 (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.
2 other providers at this address
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About NPI 1376668087
Melissa Dale Hall, LMT's National Provider Identifier is 1376668087, issued on Mar 20, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 9, 2007.