Shenika Lavette Lalanne
Individual provider Active NPI Massage Therapist · Midway, FL
NPI 1013758804 · NPPES record last updated Jun 4, 2024
Key facts
- NPI
- 1013758804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA101013 (FL)
- Practice address
- 1257 Rustling Pines Blvd
Midway, FL 32343-2261 - Phone
- (850) 980-9794
- NPI assigned
- Jun 4, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA101013 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA101013 | FL | Yes |
Addresses
Primary practice location
1257 Rustling Pines Blvd
Midway, FL 32343-2261
Mailing address
1257 Rustling Pines Blvd
Midway, FL 32343-2261
Phone (850) 980-9794
Other providers in Midway, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.