Individual
JASPER KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3446 GRAND FORKS DR, LAND O LAKES, FL 34639-5594
(786) 708-2261
Mailing address
8870 N HIMES AVE # 325, TAMPA, FL 33614-1627
(786) 708-2261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA85222
FL
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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