Individual provider · Type 1 NPI

Tristan Luke Dancer, LMT

Massage Therapist · Jacksonville, FL

NPI number 1932004199 Active

Practice location

4004 Shasta Ct
Jacksonville, FL 32207-5724

Call (904) 874-5369 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA109953 (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 1932004199

Tristan Luke Dancer, LMT's National Provider Identifier is 1932004199, issued on Oct 8, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 8, 2026.