Individual
JACQUELYN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
807A HOLCOMB BLVD, OCEAN SPRINGS, MS 39564-3943
(775) 340-9918
Mailing address
807A HOLCOMB BLVD, OCEAN SPRINGS, MS 39564-3943
(775) 340-9918
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2306
MS
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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