MS. Stacy R. Shidemantle, LMT
MS. Stacy R. Shidemantle, LMT is a Massage Therapist in Fort Walton Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- LMT — Licensed Massage Therapist
- A state-licensed massage therapist.
Practice location Address checks out
301 Sudduth Cir NEFort Walton Beach, FL 32548-5124
Phone: (850) 543-4919
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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 MA49802 (FL) |
|---|
Record details
| NPI number | 1598951378 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LMT |
| Sole proprietor | Yes |
| NPI enumerated | September 14, 2007 |
| Last updated in NPPES | September 14, 2007 |
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