MEDICARE: JAYCI QASSIS LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA90060	FL

General Provider Information

NPI Number	:	1982358552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYCI QASSIS LMT

Provider Business Mailing Address
First Line	:	2447 MILL CREEK CT STE 4
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8301
Country	:	US
Telephone Number	:	813-331-5515
Fax Number	:

Provider Business Practice Location Address
First Line	:	2447 MILL CREEK CT STE 4
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8301
Country	:	US
Telephone Number	:	813-331-5515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2022
Last Update Date	:	02/22/2022

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Directions to “ JAYCI QASSIS LMT” Practice Location

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