Individual provider · Type 1 NPI

Jennifer Kathleen Goodermote, LMT

Massage Therapist · Jacksonville Beach, FL

NPI number 1932375698 Active

Practice location

1105 20th St N
Jacksonville Beach, FL 32250-2892

Call (904) 241-4597 Map

Fax (904) 241-4597

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18717 (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 1932375698

Jennifer Kathleen Goodermote, LMT's National Provider Identifier is 1932375698, issued on May 2, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on May 2, 2008.