IndividualActive
Angela Restivo, LMT
NPI 1699284661 · Sports Medicine (Neuromusculoskeletal Medicine) Physician · St Augustine, FL
Provider details
- NPI number
- 1699284661
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA85843 (FL)
Mailing address
110 2nd St
St Augustine, FL 32080-6369
Registry dates
- Enumerated
- 2017-09-21
- Last updated
- 2017-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.