MEDICARE: STEPHANIE DENISE ADAMS LMT, CLT

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	MA95035	FL

General Provider Information

NPI Number	:	1114682499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE DENISE ADAMS LMT, CLT

Provider Business Mailing Address
First Line	:	12731 WORLD PLAZA LN STE 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4081
Country	:	US
Telephone Number	:	239-448-6200
Fax Number	:	239-216-9974

Provider Business Practice Location Address
First Line	:	12731 WORLD PLAZA LN STE 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-4081
Country	:	US
Telephone Number	:	239-448-6200
Fax Number	:	239-216-9974

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

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	02/16/2026

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