Doctor Name: | MS. JOANNA LEIGH SHEWARD |
NPI Number: | 1326319401 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT/NMT |
License Number: | MA58361 |
Business Practice Address: | 1819 Hendricks Ave Ste. 2 & 3 Jacksonville, FL - 322073303 |
Business Phone Number: | 9043485511 |
Business Fax Number: | 9043486601 |
Mailing Address: | 1819 Hendricks Ave, Ste. 2 & 3 JACKSONVILLE |
State: | FL |
Postal Code: | 322073303 |
Phone Number: | 9043485511 |
Fax Number: | 9043486601 |
NPI Enumeration Date: | 01/20/2012 |
NPI Last Update Date: | 01/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA58361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy 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. |