MEDICARE: MRS. DANIELLE R SZPARA LMT

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	MA-28590	FL

General Provider Information

NPI Number	:	1043417272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE R SZPARA LMT

Provider Business Mailing Address
First Line	:	75 PANORAMA DR
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-7511
Country	:	US
Telephone Number	:	386-627-3637
Fax Number	:

Provider Business Practice Location Address
First Line	:	399 PALM COAST PKWY SW UNIT 4
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4770
Country	:	US
Telephone Number	:	386-627-3637
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	05/16/2026

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