Individual
PAIGE LYNN PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN, LMT
Contact information
Practice address
5225 7TH ST W, LEHIGH ACRES, FL 33971-1034
(239) 321-2989
Mailing address
5225 7TH ST W, LEHIGH ACRES, FL 33971-1034
(239) 321-2989
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5249933
FL
172M00000X
Mechanotherapist
MA82606
FL
225700000X
Massage Therapist
MA82606
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA82606
FLORIDA BOARD OF MASSAGE
FL
01
—
PN5249933
FLORIDA BOARD OF NURSING
FL
Enumeration date
08/29/2017
Last updated
07/20/2021
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