NPI 1124105374 · live from the CMS NPI Registry
Lin Mello Allen, LMT
Massage Therapist in Gainesville, FL. National Provider Identifier 1124105374, active.
NPI record
| NPI | 1124105374 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2720 Nw 6th St, Ste 1, Gainesville, FL 32609 |
| Practice phone | 352-215-5009 |
| Mailing address | Po Box 588, Micanopy, FL 32667 |
| Enumerated | November 1, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MA 23446 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.