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MR. KENNETH WAYNE WALDBURG JR.
NPI 1316712698
Massage Therapist in Jacksonville, FL

Active since November 16, 2023
4629 GERBER CT, JACKSONVILLE, FL 32210(904) 790-3671 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Kenneth Wayne Waldburg Jr. NPPES

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

MR. KENNETH WAYNE WALDBURG JR. (NPI 1316712698) is an individual massage therapist in Jacksonville, Florida, licensed in Florida (MA62122) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1316712698
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. KENNETH WAYNE WALDBURG JR.
Location Address4629 GERBER CTJacksonville, FL 32210-1411
Mailing Address4629 Gerber CtJacksonville, FL 32210-1411 · (904) 790-3671
Phone(904) 790-3671
Sole ProprietorYes
Enumeration DateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1316712698 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 · MA62122
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.
4629 GERBER CT, Jacksonville, FL 32210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kenneth Waldburg's NPI number?

The NPI number for Kenneth Waldburg is 1316712698. It was assigned to this individual provider in the NPPES registry on November 16, 2023.

Where is Kenneth Waldburg located?

Kenneth Waldburg practices at 4629 Gerber Ct, Jacksonville, FL 32210. The listed phone number is (904) 790-3671.

What is Kenneth Waldburg'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 Kenneth Waldburg was last updated on November 16, 2023. 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.