Individual
JACKIE LYNN WALSINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
315 E ASH ST, PERRY, FL 32347-2029
(850) 584-3278
(850) 584-8171
Mailing address
315 E ASH ST, PERRY, FL 32347-2029
(850) 584-3278
(850) 584-8171
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA52150
FL
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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