Jacqueline Ann Buddingh, lmt
Massage Therapist in Clearwater, FL. Individual provider (NPI-1).
NPI number1326287640
StatusActive
Last updated in NPPESFeb 10, 2009
Details
- NPI
- 1326287640
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jacqueline Ann Buddingh
- Credential
- lmt
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2009
- Last updated
- Feb 10, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | ma34537 | FL | Yes |
Practice location
611 S Prospect Ave611 Prospect Ave S
Clearwater, FL 33756-5627
Phone 727-461-2500 · Fax 727-461-2500
Mailing address
Po Box 5767Clearwater, FL 33758-5767
Phone 727-461-2500 · Fax 727-461-2500
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