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Amanda Leigh Dale, LMT
Massage Therapist in St Augustine, Florida
NPI 1831239805

Amanda Leigh Dale is a Massage Therapist based in St Augustine, FL. Amanda Leigh Dale practices in St Augustine, FL and has the professional credentials of LMT. The NPI Number for Amanda Leigh Dale is 1831239805 and holds a License No. MA 41898 (Florida).

The current practice location address for Amanda Leigh Dale is 2180 A1A S, St Augustine, FL and can be reached out via phone at 904-806-6846 and via fax at 904-471-6236.

Location: 2180 A1A S, St Augustine, FL, 32084-0842
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831239805
Provider Name
Amanda Leigh Dale
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2180 A1A S, St Augustine, FL, 32084-0842
Phone Number
904-806-6846
Fax Number
904-471-6236
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CC3936 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2180 A1A S
City
St Augustine
State
Florida
Zip
32080-6591
Phone Number
904-806-6846
Fax Number
904-471-6236
person
Provider Business Mailing Address Details
Address
2180 A1A S
City
St Augustine
State
Florida
Zip
32080-6591
Phone Number
904-806-6846
Fax Number
904-471-6236
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 41898 (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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