MICHIELE DIAN CONKLIN
NPI 1790451037
Massage Therapist in Jacksonville, FL
Active since August 17, 2021
About Michiele Dian Conklin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHIELE DIAN CONKLIN (NPI 1790451037) is an individual massage therapist in Jacksonville, Florida, licensed in Florida (MA75182) and active in the NPI registry since August 2021.
NPPES Registry Identity
NPI1790451037
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMICHIELE DIAN CONKLIN
Location Address572 METEOR STJacksonville, FL 32205-5457
Mailing Address572 Meteor StJacksonville, FL 32205-5457 · (352) 547-9002
Phone(352) 547-9002
Sole ProprietorYes
Enumeration DateAugust 17, 2021
NPPES CertifiedAugust 17, 2021
✔ NPI 1790451037 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 · MA75182
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.
572 METEOR ST, Jacksonville, FL 32205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790451037, enumerated as an "individual" on August 17, 2021.
The provider is located at 572 METEOR ST JACKSONVILLE, FL 32205 and the phone number is (352) 547-9002.
Massage Therapist with taxonomy code 225700000X.
