Danielle Fountain, LMT, NCTMB, MMP
NPI #1578855326 in St Augustine, Florida
Provider Information
- NPI Number
- 1578855326
- Entity Type
- Individual
- Name
- Danielle Fountain, LMT, NCTMB, MMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT, NCTMB, MMP
- Enumeration Date
- May 12, 2011
- Last Updated
- Oct 12, 2011
Practice Location
- Address
- 212 SAN MARCO AVE STE C
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32084-2771
- Phone
- (904) 347-1855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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