Individual provider · Type 1 NPI

Kelly Jackson, LMT

Massage Therapist · Jacksonville, FL

NPI number 1497108310 Active

Practice location

1325 San Marco Blvd, Suite 102
Jacksonville, FL 32207-8568

Call (904) 858-7045 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61239 (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 1497108310

Kelly Jackson, LMT's National Provider Identifier is 1497108310, issued on Jul 15, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 15, 2016.