TRACI D STEWART LMT
NPI 1689448862
Massage Therapist in Jacksonville, FL

Active since November 08, 2023
12058 SAN JOSE BLVD # 802-3, JACKSONVILLE, FL 32223(904) 444-7286 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Massage Therapist

About TRACI STEWART

This page provides the complete NPI Profile along with additional information for Traci Stewart, a provider established in Jacksonville, Florida with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1689448862 assigned on November 2023. The practitioner's primary taxonomy code is 225700000X with license number MA69978 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1689448862 Verify this NPI
Provider Name
TRACI D STEWART LMT
Gender
Female
Entity Type
Individual
Location Address
12058 SAN JOSE BLVD # 802-3 JACKSONVILLE, FL 32223
Location Phone
(904) 444-7286
Mailing Address
PO BOX 26483 JACKSONVILLE, FL 32226
Mailing Phone
(904) 444-7286
Is Sole Proprietor?
No
Enumeration Date
11-08-2023
Last Update Date
11-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
MA69978
License State
FL
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689448862, enumerated as an "individual" on November 08, 2023.

The provider is located at 12058 SAN JOSE BLVD # 802-3 JACKSONVILLE, FL 32223 and the phone number is (904) 444-7286.

Massage Therapist with taxonomy code 225700000X.