Individual provider · Type 1 NPI

Jennifer Lee Van Wyngaardt, LMT

Massage Therapist · St. Augustine, FL

NPI number 1093562936 Active

Practice location

1797 Old Moultrie Rd Ste 103
St. Augustine, FL 32084-5721

Call (904) 844-1616 Map

Mailing address

255 Whispering Woods Ln Apt 6
St. Augustine, FL 32084-5910

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X97382 (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 1093562936

Jennifer Lee Van Wyngaardt, LMT's National Provider Identifier is 1093562936, issued on Apr 30, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Apr 30, 2024.