Individual
JESSICA MARIE HATHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6301 MEMORIAL HWY, SUITE 101, TAMPA, FL 33615-4573
(813) 884-8877
(813) 886-4980
Mailing address
6301 MEMORIAL HWY, SUITE 101, TAMPA, FL 33615-4573
(813) 884-8877
(813) 886-4980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA57788
FL
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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