| Mr Ladon Stacy Lewis, LMT | |
|
3650 Nantucket Island Dr, Apt. 101, Port Orange, FL 32129-5336 | |
| (386) 679-4996 | |
| (386) 322-3870 |
| Full Name | Mr Ladon Stacy Lewis |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 3650 Nantucket Island Dr, Port Orange, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104084300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA52351 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ladon Stacy Lewis, LMT Po Box 422, Daytona Beach, FL 32115-0422 Ph: (386) 679-4996 | Mr Ladon Stacy Lewis, LMT 3650 Nantucket Island Dr, Apt. 101, Port Orange, FL 32129-5336 Ph: (386) 679-4996 |
Kaley Jo Taylor, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 808 Charles St, Port Orange, FL 32129 Phone: 386-679-9419 | |
Mrs. Angela Marie Tague, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3106 Waterway Pl, Port Orange, FL 32128 Phone: 386-756-4332 | |
Ms. Amanda J Diaz, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 Lafayette St, Port Orange, FL 32127 Phone: 386-852-8737 Fax: 386-868-5324 | |
Dr. Aaron R. M. Duncan, D.C., L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3493 Winchester Dr, Port Orange, FL 32129 Phone: 321-695-3953 | |
Dr. Georgi Stamatov Dimov, DC Massage Therapist Medicare: Medicare Enrolled Practice Location: 5400 S Williamson Blvd Apt 2-201, Port Orange, FL 32128 Phone: 571-426-6061 | |
Roberta Anne Hoag, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 207 Brittany Ave, Port Orange, FL 32127 Phone: 386-761-1642 |