Individual
MS. JACKIE MARIE SAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
120 S PALM AVE, PALATKA, FL 32177-4140
(386) 937-6702
Mailing address
PO BOX 217, PALATKA, FL 32178-0217
(386) 530-0137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA43020
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2905
BLUE CROSS BLUE SHIELD OF
FL
Enumeration date
11/09/2006
Last updated
07/27/2007
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