| Organization Name: | JACKSONVILLE MEDICAL & WELLNESS MASSAGE, INC. |
| NPI Number: | 1548462864 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA K ADAMS (PRESIDENT) |
| Mailing Address: | 7545 Centurion Pkwy Suite 304 Jacksonville |
| State: | FL US |
| Postal Code: | 322560579 |
| Phone Number: | 9046458850 |
| Fax Number: | 9046458865 |
| NPI Enumeration Date: | 05/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MM18737 |
| 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. |