Individual provider · Type 1 NPI

Jacqueline Bazemore

Massage Therapist · Winter Haven, FL

NPI number 1134070972 Active

Practice location

6362 Cypress Gardens Blvd
Winter Haven, FL 33884-3176

Call (863) 320-0617 Map

Mailing address

1880 Avenue Q SW
Winter Haven, FL 33880-6529

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA98391 (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 1134070972

Jacqueline Bazemore's National Provider Identifier is 1134070972, issued on Feb 6, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winter Haven, FL. The record was last updated on Feb 6, 2026.