Samantha Jo Fagnant, LMT
NPI #1396179578 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1396179578
- Entity Type
- Individual
- Name
- Samantha Jo Fagnant, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Aug 24, 2013
- Last Updated
- Jul 7, 2014
Practice Location
- Address
- 1312 ILLINOIS AVE
- Address 2
- SUITE E
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34769-4506
- Phone
- (407) 436-2122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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