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SHANE WILDING NALL LMT
NPI 1912402934
Massage Therapist in Jacksonville, FL

Active since March 30, 2018
14985 OLD SAINT AUGUSTINE RD UNIT 106, JACKSONVILLE, FL 32258(904) 288-9491(904) 288-9698 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shane Wilding Nall Lmt NPPES

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

SHANE WILDING NALL LMT (NPI 1912402934) is an individual massage therapist in Jacksonville, Florida, licensed in Florida (MA88028) and active in the NPI registry since March 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912402934
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSHANE WILDING NALLCredential: LMT
Location Address14985 OLD SAINT AUGUSTINE RD UNIT 106Jacksonville, FL 32258-9478
Mailing Address14985 Old Saint Augustine Rd Unit 106Jacksonville, FL 32258-9478 · (904) 288-9491 · Fax (904) 288-9698
Phone(904) 288-9491
Fax(904) 288-9698
Sole ProprietorNo
Enumeration DateMarch 30, 2018
✔ NPI 1912402934 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 · MA88028
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.
14985 OLD SAINT AUGUSTINE RD UNIT 106, Jacksonville, FL 32258
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Secondary Practice Locations 2

Location 11577 Roberts Dr Ste 320Jacksonville Beach, FL 32250-3266 · Phone (904) 247-3324 · Fax (904) 247-3926
Location 21325 San Marco Blvd Ste 102Jacksonville, FL 32207-8549 · Phone (904) 858-7045 · Fax (904) 858-7047

Other Providers at the Same Location NPPES 3

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

LINDSAY M FLEETWOOD PT
Physical Therapist
14985 OLD SAINT AUGUSTINE RD UNIT 106, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32258
Duval County (904) 288-9491
ROMEO SALAZAR PT
Physical Therapist
14985 OLD SAINT AUGUSTINE RD UNIT 106, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32258
Duval County (904) 288-9491
KENNETH M GOODIN DPT
Physical Therapist
14985 OLD SAINT AUGUSTINE RD UNIT 106
JACKSONVILLE, FL 32258
Duval County (904) 288-9491

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 Shane Nall's NPI number?

The NPI number for Shane Nall is 1912402934. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Shane Nall located?

Shane Nall practices at 14985 Old Saint Augustine Rd Unit 106, Jacksonville, FL 32258. The listed phone number is (904) 288-9491.

What is Shane Nall'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 Shane Nall was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.