Individual provider · Type 1 NPI

Kenneth Wayne Waldburg Jr.

Massage Therapist · Jacksonville, FL

NPI number 1316712698 Active

Practice location

4629 Gerber Ct
Jacksonville, FL 32210-1411

Call (904) 790-3671 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA62122 (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 1316712698

Kenneth Wayne Waldburg Jr.'s National Provider Identifier is 1316712698, issued on Nov 16, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 16, 2023.