Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STACY R. SHIDEMANTLE, LMT
Active Sole ProprietorMS. STACY R. SHIDEMANTLE, LMT is a Massage Therapist healthcare provider located in FORT WALTON BEACH, Florida. NPI 1598951378 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1598951378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2007 (18.887267875767 yrs)
- Last Updated
- Sep 14, 2007
- License
-
MA49802 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 SUDDUTH CIR NEFORT WALTON BEACH, FL, 325485124Browse FL providers · Browse ZIP 32548
- Phone
- 8505434919
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in FORT WALTON BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MR. WESLEY ERIC TURNER | — | 1295855260 |
| KATHLEEN S GALLARDO | LMT | 1679783468 |
| MRS. SANDRA ATKINSON | LMT | 1023200664 |
| BRANDY G PORTER | LMT | 1821279241 |
| MISS CRISTINA ANN JACKSON | L.M.T. | 1417131269 |
| MS. TIFFANY HOLMES | — | 1487830089 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.