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Jessica Mickelsen, BS,CNIM,LMT
Massage Therapist in Fort Myers, Florida
NPI 1275157554

Jessica Mickelsen is a Massage Therapist based in Fort Myers, FL. Jessica Mickelsen practices in Fort Myers, FL and has the professional credentials of BS,CNIM,LMT. The NPI Number for Jessica Mickelsen is 1275157554 and holds a License No. MA92171 (Florida).

The current practice location address for Jessica Mickelsen is 13440 Parker Commons Blvd Ste 103, Fort Myers, FL and can be reached out via phone at 239-671-0695. You can also correspond with Jessica Mickelsen through the mailing address at 9720 GLADIOLUS PRESERVE CIR, FORT MYERS, FL - 33908-9720 (mailing address contact number: 239-671-0695).

Location: 13440 Parker Commons Blvd Ste 103, Fort Myers, FL, 33908-9720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275157554
Provider Name
Jessica Mickelsen
Credential
BS,CNIM,LMT
Provider Entity Type
Individual
Gender
Female
Address
13440 Parker Commons Blvd Ste 103, Fort Myers, FL, 33908-9720
Phone Number
239-671-0695
Fax Number
Provider Enumeration Date
06/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13440 Parker Commons Blvd Ste 103
City
Fort Myers
State
Florida
Zip
33912-1816
Phone Number
239-671-0695
Fax Number
person
Provider Business Mailing Address Details
Address
13440 Parker Commons Blvd Ste 103
City
Fort Myers
State
Florida
Zip
33912-1816
Phone Number
239-671-0695
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA92171 (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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