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Mrs. Heather Fisse-repole, LMHC,LMT
Massage Therapist in Jacksonville, Florida
NPI 1518352806

Heather Fisse-repole is a Massage Therapist based in Jacksonville, FL. Heather Fisse-repole practices in Jacksonville, FL and has the professional credentials of LMHC,LMT. The NPI Number for Heather Fisse-repole is 1518352806 and holds a License No. MH13170 (Florida).

The current practice location address for Heather Fisse-repole is 9957 Moorings Dr, Jacksonville, FL and can be reached out via phone at 904-268-6568 and via fax at 904-886-9804.

Location: 9957 Moorings Dr, Jacksonville, FL, 32257-2412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518352806
Provider Name
Heather Fisse-repole
Credential
LMHC,LMT
Provider Entity Type
Individual
Gender
Female
Address
9957 Moorings Dr, Jacksonville, FL, 32257-2412
Phone Number
904-268-6568
Fax Number
904-886-9804
Provider Enumeration Date
04/02/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9957 Moorings Dr
City
Jacksonville
State
Florida
Zip
32257-2412
Phone Number
904-268-6568
Fax Number
904-886-9804
person
Provider Business Mailing Address Details
Address
9957 Moorings Dr
City
Jacksonville
State
Florida
Zip
32257-2412
Phone Number
904-268-6568
Fax Number
904-886-9804
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MA53350 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MH13170 (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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