Jessica McCracken, LMT
Massage Therapist in Orlando, FL. Individual provider (NPI-1).
NPI number1982141586
StatusActive
Last updated in NPPESJan 21, 2017
Details
- NPI
- 1982141586
- Entity type
- Individual (NPI-1)
- Name
- Jessica McCracken
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 21, 2017
- Last updated
- Jan 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA80397 | FL | Yes |
Practice location
2833 Sprague DrOrlando, FL 32826-3341
Phone 407-219-7790
Mailing address
2833 Sprague DrOrlando, FL 32826-3341
Phone 407-219-7790
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