Individual provider · Type 1 NPI

Amanda Leigh Dale, LMT

Massage Therapist · St. Augustine, FL

NPI number 1831239805 Active

Practice location

2180 A1A S, Suite 100
St. Augustine, FL 32080-6591

Fax (904) 471-6236

Mailing address

505 Whispering Cir, Apt 13
St. Augustine, FL 32084-0842

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 41898 (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 1831239805

Amanda Leigh Dale, LMT's National Provider Identifier is 1831239805, issued on Feb 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.