Individual provider · Type 1 NPI
Paula Black, LMT
Massage Therapist · Eustis, FL
NPI number
1386829455
Active
Practice location
2430 S Bay St
Eustis, FL 32726-6363
Fax (800) 878-6689
Mailing address
37110 Shalimar Dr
Fruitland Park, FL 34731-5693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA41889 (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 1386829455
Paula Black, LMT's National Provider Identifier is 1386829455, issued on Jan 8, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eustis, FL. The record was last updated on Sep 12, 2012.