Individual provider · Type 1 NPI

Angela Evonne Jackson, LMT/MMP

Massage Therapist · Orlando, FL

NPI number 1316446453 Active

Practice location

12336 Shady Spring Way
Orlando, FL 32828-9172

Call (407) 427-6548 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA88337 (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 1316446453

Angela Evonne Jackson, LMT/MMP's National Provider Identifier is 1316446453, issued on Feb 5, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orlando, FL. The record was last updated on Feb 5, 2018.