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JENNIFER LEE VAN WYNGAARDT LMT
NPI 1093562936
Massage Therapist in Saint Augustine, FL

Active since April 30, 2024
1797 OLD MOULTRIE RD STE 103, SAINT AUGUSTINE, FL 32084(904) 844-1616 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Lee Van Wyngaardt Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LEE VAN WYNGAARDT LMT (NPI 1093562936) is an individual massage therapist in Saint Augustine, Florida, licensed in Florida (97382) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1093562936
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJENNIFER LEE VAN WYNGAARDTCredential: LMT
Location Address1797 OLD MOULTRIE RD STE 103Saint Augustine, FL 32084-5721
Mailing Address255 Whispering Woods Ln Apt 6Saint Augustine, FL 32084-5910 · (904) 844-1616
Phone(904) 844-1616
Sole ProprietorNo
Enumeration DateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1093562936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · 97382
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
1797 OLD MOULTRIE RD STE 103, Saint Augustine, FL 32084
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Van Wyngaardt's NPI number?

The NPI number for Jennifer Van Wyngaardt is 1093562936. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Jennifer Van Wyngaardt located?

Jennifer Van Wyngaardt practices at 1797 Old Moultrie Rd Ste 103, Saint Augustine, FL 32084. The listed phone number is (904) 844-1616.

What is Jennifer Van Wyngaardt's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jennifer Van Wyngaardt was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.