Individual provider · Type 1 NPI

Ebony Lucille Simon

Massage Therapist · Jacksonville, FL

NPI number 1184442915 Active

Practice location

9428 Baymeadows Rd Ste 250
Jacksonville, FL 32256-7970

Call (904) 795-0705 Map

Mailing address

9428 Baymeadows Rd
Jacksonville, FL 32256-7969

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA104020 (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 1184442915

Ebony Lucille Simon's National Provider Identifier is 1184442915, issued on Oct 1, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 1, 2024.