MEDICARE: KNEADED ESCAPE MASSAGE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1952266819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNEADED ESCAPE MASSAGE LLC

Provider Business Mailing Address
First Line	:	2550 SE HAMDEN RD
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-5216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3718 NE INDIAN RIVER DR UNIT A105
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4136
Country	:	US
Telephone Number	:	772-530-1504
Fax Number	:

Authorized Official
Title or Position	:	MASSAGE THERAPIST
Name	:	NANCY SUE MORRISON
Credential	:
Telephone Number	:	772-530-1504

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

Similar Medicare Providers

1548233950 — DR JOHN E THOMASSY P C
Practice Location Address:

4136 BONNEY ROAD
VIRGINIA BEACH, VA
23452-1741

Practice Phone: 757-340-2817
Practice Fax: 757-340-4866

1316006547 — MARK J MCCOY DMD
Practice Location Address:

201 RONNIE CT
MYRTLE BEACH, SC
29579-4136

Practice Phone: 843-236-2273
Practice Fax: 843-236-7303

1184849895 — KIMANH THI DINH PHARMD.
Practice Location Address:

4136 SHOREBREAK DR
HUNTINGTON BEACH, CA
92649-2183

Practice Phone: 714-846-8695
Practice Fax:

1598000242 — AMBER RENEE FISHER ATC
Practice Location Address:

4136 LAUREL GREEN CIR
VIRGINIA BEACH, VA
23456-6353

Practice Phone: 302-228-2584
Practice Fax:

1922419415 — DR. CHRISTOPHER ALLEN HELSEL D.M.D.
Practice Location Address:

201 RONNIE CT
MYRTLE BEACH, SC
29579-4136

Practice Phone: 843-236-2273
Practice Fax:

1932770088 — ENVISION HEALTH
Practice Location Address:

4427 SAXON DR
NEW SMYRNA BEACH, FL
32169-4136

Practice Phone: 973-202-4369
Practice Fax:

Directions to “KNEADED ESCAPE MASSAGE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.