Individual provider · Type 1 NPI
Carlyssa Shinelle Bucknor
Massage Therapist · Orange Park, FL
NPI number
1801649322
Active
Practice location
1801 Wells Rd Ste 306
Orange Park, FL 32073-2324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA63694 (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 1801649322
Carlyssa Shinelle Bucknor's National Provider Identifier is 1801649322, issued on Apr 8, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orange Park, FL. The record was last updated on Apr 8, 2024.