Individual provider · Type 1 NPI

Jessica Lynn Fenouil

Massage Therapist · Jacksonville, FL

NPI number 1609345305 Active

Practice location

11555 Central Pkwy Ste 701
Jacksonville, FL 32224-2699

Call (904) 537-2064 Map

Mailing address

3204 Park St
Jacksonville, FL 32205-7927

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA84416 (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 1609345305

Jessica Lynn Fenouil's National Provider Identifier is 1609345305, issued on Nov 26, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 26, 2018.