Heather Shannon Cantler, LMT
Individual provider Active NPI Massage Therapist · Marianna, FL
NPI 1043049539 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1043049539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA73772 (FL)
- Practice address
- 3704 Highway 90
Marianna, FL 32446-8914 - Phone
- (850) 557-6078
- NPI assigned
- Jul 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MA73772 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA73772 | FL | Yes |
Addresses
Primary practice location
3704 Highway 90
Marianna, FL 32446-8914
Mailing address
4311 Lakewood Dr
Marianna, FL 32448-5437
Phone (850) 557-6078
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All providers in Marianna, FL · Massage Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 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.