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Kelly Jackson, LMT
Massage Therapist in Jacksonville, Florida
NPI 1497108310

Kelly Jackson is a Massage Therapist based in Jacksonville, FL. Kelly Jackson practices in Jacksonville, FL and has the professional credentials of LMT. The NPI Number for Kelly Jackson is 1497108310 and holds a License No. MA61239 (Florida).

The current practice location address for Kelly Jackson is 1325 San Marco Blvd, Jacksonville, FL and can be reached out via phone at 904-858-7045.

Location: 1325 San Marco Blvd, Jacksonville, FL, 32207-8568
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497108310
Provider Name
Kelly Jackson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1325 San Marco Blvd, Jacksonville, FL, 32207-8568
Phone Number
904-858-7045
Fax Number
Provider Enumeration Date
07/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1325 San Marco Blvd
City
Jacksonville
State
Florida
Zip
32207-8568
Phone Number
904-858-7045
Fax Number
person
Provider Business Mailing Address Details
Address
1325 San Marco Blvd
City
Jacksonville
State
Florida
Zip
32207-8568
Phone Number
904-858-7045
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61239 (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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