NPI 1003616830

Mikaella Dodd

Practitioner Massage Therapist Jacksonville, FL

Practice location

Address: 13720 Old Saint Augustine Rd STE 4, Jacksonville, FL 32258-7415
Phone: (904) 268-9100
Fax: (904) 268-9700
Mailing address: 9785 Crosshill Blvd STE 108, Jacksonville, FL 32222-5889

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA90057 (FL)

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Registry record

NPI: 1003616830
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2025
Record last updated: 19 Mar 2025

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.