Individual
MR. JESSE RONALD SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
237 LOOKOUT PL, MAITLAND, FL 32751-8433
(407) 620-8764
Mailing address
595 W CHURCH ST, APT. 732, ORLANDO, FL 32805-2285
(407) 620-8764
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA46094
FL
225700000X
Massage Therapist
Primary
MA46094
FL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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