Amber J Knapp

Individual provider Active NPI Massage Therapist · Juno Beach, FL

NPI 1639397649 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1639397649
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA 43187 (FL)
Practice address
570 Ocean Drive
# 501
Juno Beach, FL 33408
Phone
(954) 491-2225
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA 43187FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Massage & Wellness Clinics Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA 43187 FL Yes

Addresses

Primary practice location

570 Ocean Drive
# 501
Juno Beach, FL 33408

Mailing address

7970 SW 24TH PL
Apt. 107
Davie, FL 33324-5784
Phone (954) 658-5967

Other identifiers

IdentifierTypeStateIssuer
MA 43187OtherFLMASSAGE LICENSE

Other providers in Juno Beach, FL

All providers in Juno Beach, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.