Individual provider · Type 1 NPI

Deris Brooks, LMT

Massage Therapist · Jacksonville, FL

NPI number 1326815259 Active

Practice location

12561 Philips Hwy #8
Jacksonville, FL 32256

Mailing address

7643 Gate Parkway Ste 104-257
Jacksonville, FL 32256

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA102032 (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 1326815259

Deris Brooks, LMT's National Provider Identifier is 1326815259, issued on Dec 11, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 11, 2023.