Individual
MS. JENNIFER LYNN WIERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
346 SE 5TH AVE, DELRAY BEACH, FL 33483-5209
(561) 703-0636
Mailing address
417 VILLA CIR, BOYNTON BEACH, FL 33435-8911
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA43137
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
MA43137
FL
225700000X
Massage Therapist
MA43137
FL
Other
Enumeration date
06/20/2018
Last updated
04/03/2020
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