Individual provider · Type 1 NPI

Alexander A. Kirichenko, LMT

Massage Therapist · Jacksonville, FL

NPI number 1215798384 Active

Practice location

13770 Beach Blvd Ste 4
Jacksonville, FL 32224-7227

Call (904) 539-3352 Map

Fax (904) 539-3351

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA89591 (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 1215798384

Alexander A. Kirichenko, LMT's National Provider Identifier is 1215798384, issued on Jan 17, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 17, 2024.