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Mr. Mark Jackson, LMT
Massage Therapist in Jacksonville, Florida
NPI 1679851240

Mark Jackson is a Massage Therapist based in Jacksonville, FL. Mark Jackson practices in Jacksonville, FL and has the professional credentials of LMT. The NPI Number for Mark Jackson is 1679851240 and holds a License No. 54995 (Florida).

The current practice location address for Mark Jackson is 12795 San Jose Blvd, Jacksonville, FL and can be reached out via phone at 904-415-6744.

Location: 12795 San Jose Blvd, Jacksonville, FL, 32223-2669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679851240
Provider Name
Mark Jackson
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
12795 San Jose Blvd, Jacksonville, FL, 32223-2669
Phone Number
904-415-6744
Fax Number
Provider Enumeration Date
07/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12795 San Jose Blvd
City
Jacksonville
State
Florida
Zip
32223-2669
Phone Number
904-415-6744
Fax Number
person
Provider Business Mailing Address Details
Address
12795 San Jose Blvd
City
Jacksonville
State
Florida
Zip
32223-2669
Phone Number
904-415-6744
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
54995 (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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