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

Individual provider Massage Therapist · NPI 1912402934

Shane Wilding Nall, LMT is a Massage Therapist in Jacksonville, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2018
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

14985 Old Saint Augustine Rd Unit 106
Jacksonville, FL 32258-9478
Phone: (904) 288-9491
Fax: (904) 288-9698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1325 San Marco Blvd Ste 102, Jacksonville, FL 32207-8549 — (904) 858-7045
  • 1577 Roberts Dr Ste 320, Jacksonville Beach, FL 32250-3266 — (904) 247-3324

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA88028 (FL)

Record details

NPI number1912402934
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESMarch 30, 2018

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