Individual provider · Type 1 NPI

Jessica Dallas, LMT

Massage Therapist · St. Augustine, FL

NPI number 1407175235 Active

Practice location

208 Southpark Cir E
St. Augustine, FL 32086-5135

Call (904) 823-8833 Map

Fax (904) 823-9394

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA36374 (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 1407175235

Jessica Dallas, LMT's National Provider Identifier is 1407175235, issued on May 18, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on May 18, 2010.