Individual provider · Type 1 NPI

Elena Telichko, LMT

Massage Therapist · Jacksonville, FL

NPI number 1083385652 Active

Practice location

9889 Gate Pkwy N Ste 305
Jacksonville, FL 32246-9230

Call (904) 513-3954 Map

Mailing address

3551 San Pablo Rd S Apt 2506
Jacksonville, FL 32224-3907

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA92240 (FL)

Massage Therapist: 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.

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About NPI 1083385652

Elena Telichko, LMT's National Provider Identifier is 1083385652, issued on Sep 23, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 23, 2021.