Jameson Self, LMT

NPI #1083916282 in Brandon, Florida

Provider Information

NPI Number
1083916282
Entity Type
Individual
Name
Jameson Self, LMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Nov 22, 2010
Last Updated
Nov 22, 2010

Practice Location

Address
330 PAULS DR
Address 2
SUITE 102
State
Florida
ZIP Code
33511-4801
Phone
(813) 643-1242

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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