Individual provider · Type 1 NPI

Danielle Fountain, LMT, NCTMB, MMP

Massage Therapist · St. Augustine, FL

NPI number 1578855326 Active

Practice location

212 San Marco Ave Ste C
St. Augustine, FL 32084-2771

Call (904) 347-1855 Map

Mailing address

10 Dupont Ln
St. Augustine, FL 32084-3208

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA48413 (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 1578855326

Danielle Fountain, LMT, NCTMB, MMP's National Provider Identifier is 1578855326, issued on May 12, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Oct 12, 2011.