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

Mr. Ladon Stacy Lewis, LMT

Individual provider Massage Therapist · NPI 1104084300

Mr. Ladon Stacy Lewis, LMT is a Massage Therapist in Port Orange, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

3650 Nantucket Island Dr Apt 101
Port Orange, FL 32129-5336
Phone: (386) 679-4996
Fax: (386) 322-3870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA52351 (FL)

Record details

NPI number1104084300
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 26, 2008
Last updated in NPPESMay 26, 2008

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