Individual provider · Type 1 NPI

Jasper Koenig, LMT

Massage Therapist · Land O Lakes, FL

NPI number 1316601677 Active

Practice location

3446 Grand Forks Dr
Land O Lakes, FL 34639-5594

Call (786) 708-2261 Map

Mailing address

8870 N Himes Ave # 325
Tampa, FL 33614-1627

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA85222 (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 1316601677

Jasper Koenig, LMT's National Provider Identifier is 1316601677, issued on Oct 23, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Land O Lakes, FL. The record was last updated on Oct 23, 2021.