Individual provider · Type 1 NPI
Alexia Lane Cothern
Nurse Massage Therapist (NMT) · Jacksonville, FL
NPI number
1093647372
Active
Practice location
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Mailing address
440 Burbank Ave Apt 5307
Ponte Vedra, FL 32081-1198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Massage Therapist (NMT) Primary | 163WM1400X | RN9463055 (FL) |
Nurse Massage Therapist (NMT): Definition to come...
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About NPI 1093647372
Alexia Lane Cothern's National Provider Identifier is 1093647372, issued on Jun 1, 2026. The primary taxonomy on file is Nurse Massage Therapist (NMT) (163WM1400X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 1, 2026.