Individual provider · Type 1 NPI

Shane Wilding Nall, LMT

Massage Therapist · Jacksonville, FL

NPI number 1912402934 Active

Practice location

14985 Old Saint Augustine Rd Unit 106
Jacksonville, FL 32258-9478

Call (904) 288-9491 Map

Fax (904) 288-9698

Other practice locations

  • 1577 Roberts Dr Ste 320, Jacksonville Beach, FL 32250-3266 · (904) 247-3324
  • 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 · (904) 858-7045

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA88028 (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.

3 other providers at this address

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About NPI 1912402934

Shane Wilding Nall, LMT's National Provider Identifier is 1912402934, issued on Mar 30, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 30, 2018.