Individual
JENNIFER LEAH PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
104 PINE CT, NICEVILLE, FL 32578-2713
(503) 680-2608
Mailing address
104 PINE CT, NICEVILLE, FL 32578-2713
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA103299
FL
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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