Ashley Marie Lentner, LMT
Individual provider Active NPI Massage Therapist · Panacea, FL
NPI 1104497882 · NPPES record last updated Jul 5, 2021
Key facts
- NPI
- 1104497882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA84074 (FL)
- Practice address
- 225 Jer Be Lou Blvd
Panacea, FL 32346-2077 - Phone
- (727) 517-5161
- NPI assigned
- Jul 5, 2021
- 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 |
|---|---|---|---|
| MA84074 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA84074 | FL | Yes |
Addresses
Primary practice location
225 Jer Be Lou Blvd
Panacea, FL 32346-2077
Mailing address
225 Jer Be Lou Blvd
Panacea, FL 32346-2077
Phone (727) 517-5161
Other providers in Panacea, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2021. 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.