FOOTPRINTS ON THE MOON MASSAGE AND BODYWORK, LLC
NPI 1760898506
Massage Therapist in Saint Cloud, FL

Q: What is Footprints On The Moon Massage And Bodywork, LLC's specialty?

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

Active since July 01, 2014

1312 ILLINOIS AVE, SUITE E, SAINT CLOUD, FL 34769(407) 436-2122 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Footprints On The Moon Massage And Bodywork, Llc NPPES

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

FOOTPRINTS ON THE MOON MASSAGE AND BODYWORK, LLC (NPI 1760898506) is a healthcare organization registered as a massage therapist in Saint Cloud, Florida and active in the NPI registry since July 2014. The organization lists Samantha Jo Fagnant, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1760898506

Entity TypeOrganization

Primary Taxonomy225700000X

Legal Business NameFOOTPRINTS ON THE MOON MASSAGE AND BODYWORK, LLC

Location Address1312 ILLINOIS AVE, SUITE ESaint Cloud, FL 34769-4506

Mailing Address1312 Illinois Ave, Suite ESaint Cloud, FL 34769-4506 · (407) 436-2122

Phone(407) 436-2122

Organization SubpartNo

Authorized OfficialSamantha Jo FagnantOwner/therapist · (407) 436-2122

Enumeration DateJuly 1, 2014

✔ NPI 1760898506 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 · MM32405

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.

1312 ILLINOIS AVE, Saint Cloud, FL 34769

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SAMANTHA JO FAGNANT LMT

Massage Therapist

1312 ILLINOIS AVE, SUITE E
SAINT CLOUD, FL 34769

Osceola County (407) 436-2122

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 Footprints On The Moon Massage And Bodywork, LLC's NPI number?

The NPI number for Footprints On The Moon Massage And Bodywork, LLC is 1760898506. It was assigned to this organization in the NPPES registry on July 1, 2014.

Where is Footprints On The Moon Massage And Bodywork, LLC located?

Footprints On The Moon Massage And Bodywork, LLC is located at 1312 Illinois Ave Suite E, Saint Cloud, FL 34769. The listed phone number is (407) 436-2122.

What is Footprints On The Moon Massage And Bodywork, LLC'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 Footprints On The Moon Massage And Bodywork, LLC was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.