Individual
JASON MICHAEL BURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5640 FOUNTAIN LAKE CIR APT 204, BRADENTON, FL 34207-3752
(352) 327-1854
Mailing address
5640 FOUNTAIN LAKE CIR APT 204, BRADENTON, FL 34207-3752
(352) 327-1854
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA88733
FL
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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