Healthcare Provider Details

I. General information

NPI: 1245134063
Provider Name (Legal Business Name): PAIGE RACHEL DAYVIS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21754 STATE ROAD 54 STE 102
LUTZ FL
33549-6901
US

IV. Provider business mailing address

8056 SEAGARDEN LN
LAND O LAKES FL
34637-7699
US

V. Phone/Fax

Practice location:
  • Phone: 656-257-5927
  • Fax:
Mailing address:
  • Phone: 656-257-5927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA110456
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: