Individual provider · Type 1 NPI

Mark Jackson, LMT

Massage Therapist · Jacksonville, FL

NPI number 1679851240 Active

Practice location

12795 San Jose Blvd, Ste 9
Jacksonville, FL 32223-2669

Call (904) 415-6744 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X54995 (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 1679851240

Mark Jackson, LMT's National Provider Identifier is 1679851240, issued on Jul 29, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 29, 2011.