Organization
THE EDUCATED BODY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE TIBBETT PHD-LMT (MANAGER)
(305) 396-1681
Entity
Organization
Contact information
Practice address
3542 FRANKLIN AVE, MIAMI, FL 33133-5716
(305) 396-1861
Mailing address
3542 FRANKLIN AVE, MIAMI, FL 33133-5716
(305) 396-1861
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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