Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Footprints on the Moon Massage and Bodywork, LLC

Organization Massage Therapist · NPI 1760898506

Footprints on the Moon Massage and Bodywork, LLC is a Massage Therapist in Saint Cloud, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1312 Illinois Ave Ste E
Saint Cloud, FL 34769-4506
Phone: (407) 436-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MM32405 (FL)

Record details

NPI number1760898506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Fagnant — Owner/Therapist · (407) 436-2122
NPI enumeratedJuly 1, 2014
Last updated in NPPESJuly 1, 2014
Mailing address1312 Illinois Ave, Suite E, Saint Cloud, FL 34769-4506

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