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NPI Code Detail

MEDICARE: AMY M SAILER L.M.T.

MEDICARE: AMY M SAILER L.M.T.
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
1225700000XMassage TherapistMA 47093FL

General Provider Information

NPI Number : 1134330335
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY M SAILER L.M.T.
Provider Business Mailing Address
First Line : 6500 TANGLEWOOD BAY DR APT 2013
Second Line :
City : ORLANDO
State : FL
Zip : 32821-7352
Country : US
Telephone Number : 407-415-8648
Fax Number :
Provider Business Practice Location Address
First Line : 6500 TANGLEWOOD BAY DR APT 2013
Second Line :
City : ORLANDO
State : FL
Zip : 32821-7352
Country : US
Telephone Number : 407-415-8648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2007
Last Update Date : 10/02/2008

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