AMANDA GWEN LEWIS L.M.T NPI 1063703502

NPI Information

  • NPI: 1063703502
  • Provider Name: AMANDA GWEN LEWIS, L.M.T
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1900 S HARBOR CITY BLVD
    SUITE 104
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 674-9900

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NPI Details

Amanda Gwen Lewis, L.M.T is a massage therapist in Melbourne, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Amanda Gwen Lewis, L.M.T NPI is 1063703502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 S HARBOR CITY BLVD
SUITE 104
MELBOURNE, FL
ZIP 32901-749
Phone: (321) 674-9900

The enumeration date for this NPI number is 5/2/2011 and was last updated on 5/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA42798FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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