Individual provider · Type 1 NPI

Angela Kay Shaffer, ATC, LMT

Massage Therapist · Debary, FL

NPI number 1851310320 Active

Practice location

10 Dogwood Trl, Suite D
Debary, FL 32713-2443

Mailing address

758 E Lacy Cir
Deltona, FL 32725-8174

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X40442 (FL)
Athletic Trainer 2255A2300XAL1251 (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 1851310320

Angela Kay Shaffer, ATC, LMT's National Provider Identifier is 1851310320, issued on Jul 18, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Debary, FL. The record was last updated on Dec 31, 2014.