NPI 1467964585

Jennifer Jo Widner, LMT

Practitioner Massage Therapist Pinellas Park, FL

Practice location

Address: 6260 66th St N, Pinellas Park, FL 33781-5024
Phone: (727) 420-0093

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA24417 (FL)

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Registry record

NPI: 1467964585
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2017
Record last updated: 30 Oct 2017

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.