Individual provider · Type 1 NPI

Dominique Leticia Jacobs

Massage Therapist · Clearwater, FL

NPI number 1235732512 Active

Practice location

2548 Alexander Pl Apt 102
Clearwater, FL 33763-1175

Call (727) 543-0904 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA78556 (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 1235732512

Dominique Leticia Jacobs's National Provider Identifier is 1235732512, issued on Nov 18, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clearwater, FL. The record was last updated on Nov 18, 2020.