Individual provider · NPI-1

Jade Lee-Ann Seibert, L.M.T.

Registered Nurse, Nurse Massage Therapist (NMT) · Clearwater, FL

NPI number1659643310

StatusActive

Last updated in NPPESJan 27, 2012

Details

NPI: 1659643310
Entity type: Individual (NPI-1)
Name: Mrs. Jade Lee-Ann Seibert
Credential: L.M.T.
Sex: Female
Sole proprietor: No
Enumeration date: Jan 27, 2012
Last updated: Jan 27, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WM1400X	Registered Nurse, Nurse Massage Therapist (NMT)	MA56490	FL	Yes

Practice location

25022 Us Highway 19 N
Clearwater, FL 33763-3918

Phone 727-216-3997

Mailing address

485 Paula Dr S
Apt. B
Dunedin, FL 34698-2066

Phone 727-324-7663

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