Individual provider · Type 1 NPI

Michiele Dian Conklin

Massage Therapist · Jacksonville, FL

NPI number 1790451037 Active

Practice location

572 Meteor St
Jacksonville, FL 32205-5457

Call (352) 547-9002 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA75182 (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 1790451037

Michiele Dian Conklin's National Provider Identifier is 1790451037, issued on Aug 17, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 17, 2021.