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Mr. James Anthony Trentacosta, LMT
Massage Therapist in Ponte Vedra Beach, Florida
NPI 1023030970

James Anthony Trentacosta is a Massage Therapist based in Ponte Vedra Beach, FL. James Anthony Trentacosta practices in Ponte Vedra Beach, FL and has the professional credentials of LMT. The NPI Number for James Anthony Trentacosta is 1023030970 and holds a License No. MA13773 (Florida).

The current practice location address for James Anthony Trentacosta is 96 Dolphin Blvd E, Ponte Vedra Beach, FL and can be reached out via phone at 904-285-5566 and via fax at 904-543-1488.

Location: 96 Dolphin Blvd E, Ponte Vedra Beach, FL, 32082-1713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023030970
Provider Name
James Anthony Trentacosta
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
96 Dolphin Blvd E, Ponte Vedra Beach, FL, 32082-1713
Phone Number
904-285-5566
Fax Number
904-543-1488
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
C7842 01 FL BLUE CROSS PROVIDER
MA13773 01 FL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
96 Dolphin Blvd E
City
Ponte Vedra Beach
State
Florida
Zip
32082-1713
Phone Number
904-285-5566
Fax Number
904-543-1488
person
Provider Business Mailing Address Details
Address
96 Dolphin Blvd E
City
Ponte Vedra Beach
State
Florida
Zip
32082-1713
Phone Number
904-285-5566
Fax Number
904-543-1488
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA13773 (Florida)
Definition
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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