LAKEISHA WILLIS
NPI 1487417945
Massage Therapist in Jacksonville, FL
Active since February 06, 2024
About Lakeisha Willis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKEISHA WILLIS (NPI 1487417945) is an individual massage therapist in Jacksonville, Florida, licensed in Florida (MA104214) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1487417945
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLAKEISHA WILLIS
Location Address12285 BRISTOL CREEK DRJacksonville, FL 32218-9054
Mailing Address12285 Bristol Creek DrJacksonville, FL 32218-9054 · (214) 931-0574
Phone(214) 931-0574
Sole ProprietorNo
Enumeration DateFebruary 6, 2024
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1487417945 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 · MA104214
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.
12285 BRISTOL CREEK DR, Jacksonville, FL 32218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487417945, enumerated as an "individual" on February 06, 2024.
The provider is located at 12285 BRISTOL CREEK DR JACKSONVILLE, FL 32218 and the phone number is (214) 931-0574.
Massage Therapist with taxonomy code 225700000X.