MS. Stacy R. Shidemantle, LMT is a massage therapist in Fort Walton Beach, 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. MS. Stacy R. Shidemantle, LMT NPI is 1598951378. 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:
301 SUDDUTH CIR NE
FORT WALTON BEACH, FL
ZIP 32548-124
Phone: (850) 543-4919
The enumeration date for this NPI number is 9/14/2007 and was last updated on 9/14/2007.