Individual provider · Type 1 NPI

Pamela Louise Desantis, LMT

Massage Therapist · Gainesville, FL

NPI number 1750435236 Active

Practice location

4820 Newberry Road
Gainesville, FL 32609

Fax (352) 373-1507

Mailing address

205 SW 75th St, Apt 7 0
Gainesville, FL 32607

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA43869 (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 1750435236

Pamela Louise Desantis, LMT's National Provider Identifier is 1750435236, issued on Jan 22, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 8, 2007.