Jessica Dallas, LMT
NPI #1407175235 in St Augustine, Florida
Provider Information
- NPI Number
- 1407175235
- Entity Type
- Individual
- Name
- Jessica Dallas, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- May 18, 2010
- Last Updated
- May 18, 2010
Practice Location
- Address
- 208 SOUTHPARK CIR E
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5135
- Phone
- (904) 823-8833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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