Individual provider · Type 1 NPI
Jesse Sprague, LMT
Massage Therapist · Clearwater, FL
NPI number
1326689795
Active
Practice location
2561 Harn Blvd Unit 6
Clearwater, FL 33764-5133
Mailing address
5535 110th Ave N # Q305
Pinellas Park, FL 33782-2258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MM88643 (FL) |
| Massage Therapist Primary | 225700000X | MA88643 (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 1326689795
Jesse Sprague, LMT's National Provider Identifier is 1326689795, issued on Oct 7, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clearwater, FL. The record was last updated on Mar 11, 2022.