IndividualActive
Amanda Dale, LMT
NPI 1831239805 · Massage Therapist · St Augustine, FL
Provider details
- NPI number
- 1831239805
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA 41898 (FL)
Practice location
2180 A1a S
Suite 100
St Augustine, FL 32080-6591
Phone: (904) 806-6846
Fax: (904) 471-6236
Mailing address
505 Whispering Cir
St Augustine, FL 32084-0842
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.