Individual provider · Type 1 NPI
Jennifer Jo Widner, LMT
Massage Therapist · Pinellas Park, FL
NPI number
1467964585
Active
Practice location
6260 66th St N
Pinellas Park, FL 33781-5024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA24417 (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 1467964585
Jennifer Jo Widner, LMT's National Provider Identifier is 1467964585, issued on Oct 30, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pinellas Park, FL. The record was last updated on Oct 30, 2017.