DARISSA EDMONDS LMT NPI 1982441614

NPI Information

  • NPI: 1982441614
  • Provider Name: DARISSA EDMONDS, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 511 PICKENS ST
    LAKELAND, FL
    ZIP 33805
  • Phone: (804) 243-1990

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NPI Details

Darissa Edmonds, LMT is a massage therapist in Lakeland, 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. Darissa Edmonds, LMT NPI is 1982441614. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

511 PICKENS ST
LAKELAND, FL
ZIP 33805-132
Phone: (804) 243-1990

The enumeration date for this NPI number is 7/10/2024 and was last updated on 7/10/2024.

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 TherapistMA92552FLORIDAYes

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: 11/21/2025

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