person
Mr. Kenneth Wayne Waldburg JR.
Massage Therapist in Jacksonville, Florida
NPI 1316712698

Kenneth Wayne Waldburg JR. is a Massage Therapist based in Jacksonville, FL. Kenneth Wayne Waldburg JR. practices in Jacksonville, FL. The NPI Number for Kenneth Wayne Waldburg JR. is 1316712698 and holds a License No. MA62122 (Florida).

The current practice location address for Kenneth Wayne Waldburg JR. is 4629 Gerber Ct, Jacksonville, FL and can be reached out via phone at 904-790-3671.

Location: 4629 Gerber Ct, Jacksonville, FL, 32210-1411
person
Provider Profile Details
NPI Number
1316712698
Provider Name
Kenneth Wayne Waldburg JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4629 Gerber Ct, Jacksonville, FL, 32210-1411
Phone Number
904-790-3671
Fax Number
Provider Enumeration Date
11/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4629 Gerber Ct
City
State
Zip
32210-1411
Phone Number
904-790-3671
Fax Number
person
Provider Business Mailing Address Details
Address
4629 Gerber Ct
City
State
Zip
32210-1411
Phone Number
904-790-3671
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA62122 (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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