Healthcare Provider Details

I. General information

NPI: 1649063025
Provider Name (Legal Business Name): AMANDA T CUEVAS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7012 PEBBLEBROOKE WAY
ZEPHYRHILLS FL
33541-2959
US

IV. Provider business mailing address

7012 PEBBLEBROOKE WAY
ZEPHYRHILLS FL
33541-2959
US

V. Phone/Fax

Practice location:
  • Phone: 813-525-7810
  • Fax:
Mailing address:
  • Phone: 813-525-7810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA93501
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: