Individual
MR. JESSE LUKE CORRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2729 BLAIRSTONE LN, TALLAHASSEE, FL 32301-6074
(850) 212-4244
Mailing address
1529 PAULA DR, TALLAHASSEE, FL 32303-2913
(850) 212-4244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA32748
FL
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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