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Angela Evonne Jackson, LMT/MMP
Massage Therapist in Orlando, Florida
NPI 1316446453

Angela Evonne Jackson is a Massage Therapist based in Orlando, FL. Angela Evonne Jackson practices in Orlando, FL and has the professional credentials of LMT/MMP. The NPI Number for Angela Evonne Jackson is 1316446453 and holds a License No. MA88337 (Florida).

The current practice location address for Angela Evonne Jackson is 12336 Shady Spring Way, Orlando, FL and can be reached out via phone at 407-427-6548.

Location: 12336 Shady Spring Way, Orlando, FL, 32828-9172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316446453
Provider Name
Angela Evonne Jackson
Credential
LMT/MMP
Provider Entity Type
Individual
Gender
Female
Address
12336 Shady Spring Way, Orlando, FL, 32828-9172
Phone Number
407-427-6548
Fax Number
Provider Enumeration Date
02/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12336 Shady Spring Way
City
Orlando
State
Florida
Zip
32828-9172
Phone Number
407-427-6548
Fax Number
person
Provider Business Mailing Address Details
Address
12336 Shady Spring Way
City
Orlando
State
Florida
Zip
32828-9172
Phone Number
407-427-6548
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA88337 (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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