Shawn Lee Gilbert, LMT
Individual provider Active NPI Massage Therapist · W Melbourne, FL
NPI 1851611909 · NPPES record last updated Jun 10, 2010
Key facts
- NPI
- 1851611909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 34505 (FL)
- Practice address
- 2815 W New Haven Ave Ste 302
W Melbourne, FL 32904-3655 - Phone
- (321) 725-0073
- NPI assigned
- Jun 10, 2010
- Sex
- Male
- 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 |
|---|---|---|---|
| 34505 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 34505 | FL | Yes |
Addresses
Primary practice location
2815 W New Haven Ave Ste 302
W Melbourne, FL 32904-3655
Mailing address
508 Almond Ave NW
Palm Bay, FL 32907-1857
Phone (321) 591-1356
Other providers in W Melbourne, FL
- Eye Centers of Brevard, LLC
- Amy B Faulkner
- Florida Pediatric Group PA
- Florida Shores Assisted Living Facility Inc.
- Genesis
- Omaira Luz Gonzalez
- Taoufiq Hammond
- Health Management LLC
- Denise Clark Huber
- James E Greathouse, Jr. Dcpa
All providers in W Melbourne, 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 10, 2010. 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.