Individual provider · Type 1 NPI

Lauren Marina Shaw, MASSAGE THERAPIST

Massage Therapist · West Melbourne, FL

NPI number 1578286019 Active

Practice location

4504 Gail Blvd
West Melbourne, FL 32904-5717

Call (808) 634-9641 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA99114 (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 1578286019

Lauren Marina Shaw, MASSAGE THERAPIST's National Provider Identifier is 1578286019, issued on Sep 20, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Melbourne, FL. The record was last updated on Sep 20, 2022.