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Shane Wilding Nall, LMT
Massage Therapist in Jacksonville, Florida
NPI 1912402934

Shane Wilding Nall is a Massage Therapist based in Jacksonville, FL. Shane Wilding Nall practices in Jacksonville, FL and has the professional credentials of LMT. The NPI Number for Shane Wilding Nall is 1912402934 and holds a License No. MA88028 (Florida).

The current practice location address for Shane Wilding Nall is 14985 Old Saint Augustine Rd Unit 106, Jacksonville, FL and can be reached out via phone at 904-288-9491 and via fax at 904-288-9698.

Location: 14985 Old Saint Augustine Rd Unit 106, Jacksonville, FL, 32258-9478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912402934
Provider Name
Shane Wilding Nall
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
14985 Old Saint Augustine Rd Unit 106, Jacksonville, FL, 32258-9478
Phone Number
904-288-9491
Fax Number
904-288-9698
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14985 Old Saint Augustine Rd Unit 106
City
Jacksonville
State
Florida
Zip
32258-9478
Phone Number
904-288-9491
Fax Number
904-288-9698
person
Provider Business Mailing Address Details
Address
14985 Old Saint Augustine Rd Unit 106
City
Jacksonville
State
Florida
Zip
32258-9478
Phone Number
904-288-9491
Fax Number
904-288-9698
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA88028 (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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