Individual
JESSE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2561 HARN BLVD UNIT 6, CLEARWATER, FL 33764-5133
(813) 843-2374
Mailing address
5535 110TH AVE N # Q305, PINELLAS PARK, FL 33782-2258
(813) 843-2374
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA88643
FL
225700000X
Massage Therapist
MM88643
FL
Other
Enumeration date
10/07/2019
Last updated
03/11/2022
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