Individual
JAKE TOMASCHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4504 GAIL BLVD, MELBOURNE, FL 32904-5717
(970) 274-8846
Mailing address
4504 GAIL BLVD, MELBOURNE, FL 32904-5717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA106225
FL
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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