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
State
Florida
ZIP Code
34769-4506
Phone
(407) 436-2122

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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