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NPI Code Detail

MEDICARE: AMY NEWLOVE LMT

MEDICARE:   AMY  NEWLOVE  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
1225700000XMassage TherapistMA39746FL

General Provider Information

NPI Number : 1285063800
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY NEWLOVE LMT
Provider Business Mailing Address
First Line : 3935 VANA DR
Second Line :
City : SARASOTA
State : FL
Zip : 34241-5943
Country : US
Telephone Number : 941-779-3579
Fax Number :
Provider Business Practice Location Address
First Line : 830 CENTRAL AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34236-4021
Country : US
Telephone Number : 941-779-3579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2013
Last Update Date : 11/04/2013

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Directions to “ AMY NEWLOVE LMT” Practice Location

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