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MAXINE ANDREA GORDON LMT
NPI 1326856618
Massage Therapist in Lake City, FL

Active since December 19, 2024
738 SW MAIN BLVD, LAKE CITY, FL 32025(386) 400-3140(386) 406-8013 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2025, Dec 19, 2024 (2 updates tracked since 2024).

About Maxine Andrea Gordon Lmt NPPES

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

MAXINE ANDREA GORDON LMT (NPI 1326856618) is an individual massage therapist in Lake City, Florida, licensed in Florida (MA106489) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1326856618
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMAXINE ANDREA GORDONCredential: LMT
Location Address738 SW MAIN BLVDLake City, FL 32025-5768
Mailing Address738 Sw Main BlvdLake City, FL 32025-5768 · (386) 400-3140 · Fax (386) 406-8013
Phone(386) 400-3140
Fax(386) 406-8013
Sole ProprietorYes
Enumeration DateDecember 19, 2024
Last NPPES UpdateMarch 8, 20252 updates tracked since enumeration
NPPES CertifiedMarch 8, 2025
✔ NPI 1326856618 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 · MA106489
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.

738 SW MAIN BLVD, Lake City, FL 32025
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Other Identifiers 1

Other1558067579FL · Group Npi

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY DAVIS ROBERTS LMT
Massage Therapist
738 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 400-3140
KASEY MOORE LMT
Massage Therapist
738 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 400-3140
NIKKI MARIAH EVIRS LMT
Massage Therapist
738 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 400-3140
MOORE MASSAGE LLC
Massage Therapist
738 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (904) 437-9823
ADAIRA PITTS LMT
Massage Therapist
738 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 400-3140
CARRIE LYNN HOGUE LMT
Massage Therapist
738 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 400-3140

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 Maxine Gordon's NPI number?

The NPI number for Maxine Gordon is 1326856618. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Where is Maxine Gordon located?

Maxine Gordon practices at 738 SW Main Blvd, Lake City, FL 32025. The listed phone number is (386) 400-3140.

What is Maxine Gordon'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 Maxine Gordon was last updated on March 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.