Individual
JACQUELYNNE BRESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
151 CAPITAL AVE APT 1104, MOORESVILLE, NC 28117-5641
(865) 978-4366
Mailing address
151 CAPITAL AVE APT 1104, MOORESVILLE, NC 28117-5641
(865) 978-4366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20198
NC
225700000X
Massage Therapist
270620
KY
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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