MEDICARE: SIMONE LEE 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	MA96291	FL

General Provider Information

NPI Number	:	1407451560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMONE LEE LMT

Provider Business Mailing Address
First Line	:	100 S DIXIE HWY STE 305
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5421
Country	:	US
Telephone Number	:	917-831-6986
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 S DIXIE HWY STE 305
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5421
Country	:	US
Telephone Number	:	917-831-6986
Fax Number	:

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

Provider Enumeration Date	:	12/04/2020
Last Update Date	:	11/24/2025

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Directions to “ SIMONE LEE LMT” Practice Location

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