Jessica Marie Virtue, LMT

NPI #1619169133 in Destin, Florida

Provider Information

NPI Number: 1619169133
Entity Type: Individual
Name: Jessica Marie Virtue, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Aug 17, 2007
Last Updated: Aug 17, 2007

Practice Location

Address: 12815 HWY 98 W
Address 2: SUITE 114
City: Destin
State: Florida
ZIP Code: 32550
Phone: (850) 837-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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