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

TaxonomyCodeLicense
Massage Therapist 225700000XMM88643 (FL)
Massage Therapist Primary 225700000XMA88643 (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.