Individual
MS. JACKIE MARIE SAVAGE
Active
Individual
MS. JACKIE MARIE SAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
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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