Mobile Lymphedema Clinic LLC
Mobile Lymphedema Clinic LLC is a Rehabilitation Practitioner in Fort Walton Beach, Florida. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 7
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
804 Pine Alley StFort Walton Beach, FL 32547-1216
Phone: (850) 803-6683
Fax: (888) 857-4412
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X |
|---|---|
| Rehabilitation Practitioner | Taxonomy 225400000X |
| Environmental Modification Occupational Therapist | Taxonomy 225XE0001X |
| Ergonomics Occupational Therapist | Taxonomy 225XE1200X |
| Gerontology Occupational Therapist | Taxonomy 225XG0600X |
| Hand Occupational Therapist | Taxonomy 225XH1200X |
| Physical Rehabilitation Occupational Therapist | Taxonomy 225XP0019X |
Record details
| NPI number | 1104706837 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Boothe — Owner, Clinician · (850) 217-2186 |
| Other names | Move Me Lymphatics-Mobile Lymphedema Clinic |
| NPI enumerated | September 4, 2025 |
| Last updated in NPPES | February 18, 2026 |
| Certification date | February 18, 2026 |
| Mailing address | 804 Pine Alley St, Fort Walton Beach, FL 32547-1216 |
Other providers in Fort Walton Beach
-
Shoshana Simas, MA75174
20 Racetrack Rd NW, Fort Walton Beach, FL 32547-1642 · (850) 240-5353