Individual provider · Type 1 NPI

Jessica Lynn Green, LMT

Massage Therapist · Lake City, FL

NPI number 1417630385 Active

Practice location

3925 SW County Road 240
Lake City, FL 32024-4921

Call (386) 853-1559 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA80897 (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 1417630385

Jessica Lynn Green, LMT's National Provider Identifier is 1417630385, issued on Aug 8, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake City, FL. The record was last updated on Aug 21, 2023.