Individual provider · Type 1 NPI

Deven Irene McPhaul, LMT

Massage Therapist · Jacksonville, FL

NPI number 1639312184 Active

Practice location

725 Nautica Dr, Suite 104
Jacksonville, FL 32218-7255

Fax (904) 483-2221

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA50292 (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 1639312184

Deven Irene McPhaul, LMT's National Provider Identifier is 1639312184, issued on Apr 14, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 14, 2009.