Shelby Lee Jacobs LMT

NPI 1447486873 - Massage Therapist - 225700000X

NPI Details
NPI 1447486873
Gender Female
Enumeration Date 05/29/2009
Last Updated 05/29/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
12276 SAN JOSE BLVD
SUITE 104
JACKSONVILLE FL, 32223-8628, US
Phone (904) 288-8311
Fax (904) 288-8371
Business Location
12276 SAN JOSE BLVD
SUITE 104
JACKSONVILLE FL, 32223-8628, US
Phone (904) 288-8311
Fax (904) 288-8371
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA55269
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According to our database, Shelby Lee Jacobs LMT NPI is 1447486873, taxonomy code is 225700000X and license number is MA55269, license state is located at Florida. Shelby Lee Jacobs LMT physically located at 12276 San Jose Blvd, Jacksonville FL, 32223-8628. NPI Number Shelby Lee Jacobs LMT has the Individual type.

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1447486873 NPI number is provided on an as is basis without warranty of any kind. 1447486873 is maintained by the National Plan & Provider Enumeration System. The contents of Shelby Lee Jacobs LMT are for informational purposes only.