Individual provider · Type 1 NPI

Maureen A. Shaw, MS, ATC, LMT

Massage Therapist · Lake Mary, FL

NPI number 1679666184 Active

Practice location

3577 Lake Emma Rd, Suite 109
Lake Mary, FL 32746-2056

Call (407) 936-0314 Map

Fax (407) 936-0316

Mailing address

2697 Bellewater Place
Oviedo, FL 32765

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAL1326 (FL)
Massage Therapist Primary 225700000XMA34636 (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 1679666184

Maureen A. Shaw, MS, ATC, LMT's National Provider Identifier is 1679666184, issued on Oct 2, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Mary, FL. The record was last updated on May 28, 2009.