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Mr. Ladon Stacy Lewis, LMT
Massage Therapist in Port Orange, Florida
NPI 1104084300

Ladon Stacy Lewis is a Massage Therapist based in Daytona Beach, FL. Ladon Stacy Lewis practices in Port Orange, FL and has the professional credentials of LMT. The NPI Number for Ladon Stacy Lewis is 1104084300 and holds a License No. MA52351 (Florida).

The current practice location address for Ladon Stacy Lewis is 3650 Nantucket Island Dr, Port Orange, FL and can be reached out via phone at 386-679-4996 and via fax at 386-322-3870.

Location: 3650 Nantucket Island Dr, Port Orange, FL, 32115-0422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104084300
Provider Name
Ladon Stacy Lewis
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
3650 Nantucket Island Dr, Port Orange, FL, 32115-0422
Phone Number
386-679-4996
Fax Number
386-322-3870
Provider Enumeration Date
05/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3650 Nantucket Island Dr
City
Port Orange
State
Florida
Zip
32129-5336
Phone Number
386-679-4996
Fax Number
386-322-3870
person
Provider Business Mailing Address Details
Address
3650 Nantucket Island Dr
City
Port Orange
State
Florida
Zip
32129-5336
Phone Number
386-679-4996
Fax Number
386-322-3870
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA52351 (Florida)
Definition
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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