Amanda Sharon Lange, L.M.T.
Massage Therapist in Edgewater, FL. Individual provider (NPI-1).
NPI number1144622945
StatusActive
Last updated in NPPESSep 23, 2014
Details
- NPI
- 1144622945
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Sharon Lange
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2014
- Last updated
- Sep 23, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA34247 | FL | Yes |
Practice location
315 N Ridgewood AveEdgewater, FL 32132-1617
Phone 386-427-8403
Mailing address
2811 Vista Palm DrEdgewater, FL 32141-5513
Phone 386-314-0227
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Massage Therapist providers in Edgewater · All 246 providers in Edgewater
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