Tabitha Lynn Taylor, LMT, RYT 200

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA89691 Issued in FL

Practice address

3332 9TH St
Elkton, FL 32033-2112

Phone

(904) 669-0902

NPI assigned

Jun 1, 2023

Last updated

Feb 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1023701380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 9TH ST",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320332112",
            "telephone_number": "904-669-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 9TH ST",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320332112",
            "telephone_number": "904-669-0902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10351 NE 90th St",
            "address_purpose": "LOCATION",
            "city": "Bronson",
            "state": "FL",
            "postal_code": "326213842",
            "country_code": "US",
            "telephone_number": "904-669-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TABITHA",
        "middle_name": "LYNN",
        "credential": "LMT, RYT 200",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA89691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Elkton, FL
• Providers in Elkton, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.