Stephanie Evelyn Abbott, L.M.T.
Individual provider Active NPI Massage Therapist · Edgewater, FL
NPI 1487815817 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1487815817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA 0016377 (FL)
- Practice address
- 931 S Ridgewood Ave
Ste B-6
Edgewater, FL 32132-2301 - Phone
- (386) 409-0065
- NPI assigned
- Jun 18, 2008
- 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 |
|---|---|---|---|
| MA 0016377 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 0016377 | FL | Yes |
Addresses
Primary practice location
931 S Ridgewood Ave
Ste B-6
Edgewater, FL 32132-2301
Mailing address
931 S Ridgewood Ave
Ste B-6
Edgewater, FL 32132-2301
Phone (386) 409-0065
Other providers in Edgewater, FL
- Advanced Care Agency Inc.
- Agewell Physical Therapy Corp
- Alan L Horowitz DC PA
- All Behavior Matters LLC
- Kaitlyn Allee
All providers in Edgewater, 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 Jun 18, 2008. 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.