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Individual
MATTHEW WYATT JENKINS
Active
Individual
MATTHEW WYATT JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOM BHS LMT
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4618
FL
225700000X
Massage Therapist
MA82617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA82617
STATE OF FL
FL
Enumeration date
06/18/2020
Last updated
03/17/2025
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