Individual
MATTHEW WYATT JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOM BHS LMT
Contact information
Practice address
3040 E COLLEGE AVE, RUSKIN, FL 33570-5220
(813) 331-3940
Mailing address
3040 E COLLEGE AVE, RUSKIN, FL 33570-5220
(813) 331-3940
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4618
FL
225700000X
Massage Therapist
MA82617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA82617
STATE OF FL
FL
Enumeration date
06/18/2020
Last updated
03/17/2025
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