# MATTHEW WYATT JENKINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417573122
- **Gender:** Man
- **Credential:** MSOM BHS LMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP4618 | FL | Yes |
| 225700000X | Massage Therapist | MA82617 | FL | — |

## Other

- **Enumeration date:** 06/18/2020
- **Last updated:** 03/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MA82617 | STATE OF FL | FL |