Healthcare Provider Details

I. General information

NPI: 1336087576
Provider Name (Legal Business Name): AMANDA HIXON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2026
Last Update Date: 03/21/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 N MAGNOLIA AVE STE 1000
OCALA FL
34475-5128
US

IV. Provider business mailing address

13529 SW 3RD PL
OCALA FL
34481-1125
US

V. Phone/Fax

Practice location:
  • Phone: 352-727-8031
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA91207
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: