Individual provider · Type 1 NPI

Carly Peacock, LMT

Massage Therapist · Jacksonville, FL

NPI number 1700610367 Active

Practice location

13720 Old Saint Augustine Rd Ste 4
Jacksonville, FL 32258-7415

Fax (904) 268-9700

Mailing address

9785 Crosshill Blvd Ste 108
Jacksonville, FL 32222-5889

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA105307 (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 1700610367

Carly Peacock, LMT's National Provider Identifier is 1700610367, issued on Aug 27, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 27, 2024.