Healthcare Provider Details

I. General information

NPI: 1851224158
Provider Name (Legal Business Name): SABRINA BAIR LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

885 FL-20
INTERLACHEN FL
32148
US

IV. Provider business mailing address

885 FL-20
INTERLACHEN FL
32148
US

V. Phone/Fax

Practice location:
  • Phone: 386-684-9110
  • Fax:
Mailing address:
  • Phone: 386-684-9110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA74000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: