Individual provider · Type 1 NPI

Lawrence Jertberg, L.M.T.

Massage Therapist · Alachua, FL

NPI number 1245581404 Active

Practice location

16824 NW 174th Ter
Alachua, FL 32615-4731

Call (386) 569-7801 Map

Fax (386) 462-4062

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA62326 (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 1245581404

Lawrence Jertberg, L.M.T.'s National Provider Identifier is 1245581404, issued on Sep 27, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Alachua, FL. The record was last updated on Sep 27, 2012.