Whalio Doctors

NPI 1003191784

Michiko Jardine, LMT

Practitioner Massage Therapist Jacksonville, FL

Practice location

Address
12795 San Jose Blvd Suite 9, Jacksonville, FL 32223-2669
Phone
(904) 619-1587

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA52451 (FL)

Registry record

NPI
1003191784
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Oct 2011
Record last updated
13 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.