Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Footprints on the Moon Massage and Bodywork, LLC

Organization Massage Therapist · NPI 1760898506

Footprints on the Moon Massage and Bodywork, LLC provides Massage Therapist services in Saint Cloud, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1312 Illinois Ave Ste E
Saint Cloud, FL 34769-4506 Not confirmed with CMS for 12 years — call before visiting
Phone: (407) 436-2122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MM32405 (FL)

Record details

NPI number1760898506
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Fagnant — Owner/Therapist · (407) 436-2122
NPI enumeratedJuly 1, 2014
Last updated in NPPESJuly 1, 2014
Mailing address1312 Illinois Ave, Suite E, Saint Cloud, FL 34769-4506

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