Individual provider · Type 1 NPI

Jamie Wenzell Telg, L.M.T.

Massage Therapist · Gainesville, FL

NPI number 1790123255 Active

Practice location

4820 W Newberry Rd
Gainesville, FL 32607-2249

Mailing address

502 NW 15th Ave
Gainesville, FL 32601-4207

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA69769 (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 1790123255

Jamie Wenzell Telg, L.M.T.'s National Provider Identifier is 1790123255, issued on Jun 6, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gainesville, FL. The record was last updated on Jun 6, 2013.