Individual provider · Type 1 NPI
Marielle Grace Shoffstall, LMT
Massage Therapist · Leesburg, FL
NPI number
1386809424
Active
Practice location
10401 US Highway 441, Suite 326
Leesburg, FL 34788-8787
Mailing address
10218 Misty Meadow Rd
Leesburg, FL 34788-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA48313 (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 1386809424
Marielle Grace Shoffstall, LMT's National Provider Identifier is 1386809424, issued on Jul 28, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Leesburg, FL. The record was last updated on Jul 28, 2008.