Individual provider · Type 1 NPI
Jacqueline Marie Green, LMT
Specialist · Ormond Beach, FL
NPI number
1912230798
Active
Practice location
37 Sandpiper Cir
Ormond Beach, FL 32174-6042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA27392 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1912230798
Jacqueline Marie Green, LMT's National Provider Identifier is 1912230798, issued on Sep 11, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ormond Beach, FL. The record was last updated on Sep 11, 2009.