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MR. LADON STACY LEWIS L.M.T.
NPI 1104084300
Massage Therapist in Port Orange, FL

Active since May 26, 2008
3650 NANTUCKET ISLAND DR, APT. 101, PORT ORANGE, FL 32129(386) 679-4996(386) 322-3870 Get Directions Write a Review

NPPES record last updated: May 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ladon Stacy Lewis L.m.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LADON STACY LEWIS L.M.T. (NPI 1104084300) is an individual massage therapist in Port Orange, Florida, licensed in Florida (MA52351) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1104084300
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. LADON STACY LEWISCredential: L.M.T.
Location Address3650 NANTUCKET ISLAND DR, APT. 101Port Orange, FL 32129-5336
Mailing AddressPo Box 422Daytona Beach, FL 32115-0422 · (386) 679-4996 · Fax (386) 322-3870
Phone(386) 679-4996
Fax(386) 322-3870
Sole ProprietorYes
Enumeration DateMay 26, 2008
✔ NPI 1104084300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · MA52351
Definition
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.
3650 NANTUCKET ISLAND DR, Port Orange, FL 32129
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ladon Lewis's NPI number?

The NPI number for Ladon Lewis is 1104084300. It was assigned to this individual provider in the NPPES registry on May 26, 2008.

Where is Ladon Lewis located?

Ladon Lewis practices at 3650 Nantucket Island Dr Apt. 101, Port Orange, FL 32129. The listed phone number is (386) 679-4996.

What is Ladon Lewis's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Ladon Lewis was last updated on May 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.