MR. ALEXANDER A KIRICHENKO LMT - NPI 1215798384 - Massage Therapist in Jacksonville, FL

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Mr. Alexander A Kirichenko Lmt NPPES

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

MR. ALEXANDER A KIRICHENKO LMT (NPI 1215798384) is an individual massage therapist in Jacksonville, Florida, licensed in Florida (MA89591) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1215798384

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. ALEXANDER A KIRICHENKOCredential: LMT

Location Address13770 BEACH BLVD STE 4Jacksonville, FL 32224-7227

Mailing Address13770 Beach Blvd Ste 4Jacksonville, FL 32224-7227 · (904) 539-3352 · Fax (904) 539-3351

Phone(904) 539-3352

Fax(904) 539-3351

Sole ProprietorNo

Enumeration DateJanuary 17, 2024

NPPES CertifiedJanuary 17, 2024

✔ NPI 1215798384 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 · MA89591

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.

13770 BEACH BLVD STE 4, Jacksonville, FL 32224

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