Healthcare Provider Details

I. General information

NPI: 1578489373
Provider Name (Legal Business Name): JAZLYN ALEXANDER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 FAIRFAX DR STE 12
ARLINGTON VA
22203-1762
US

IV. Provider business mailing address

2121 COLUMBIA PIKE
ARLINGTON VA
22204-4431
US

V. Phone/Fax

Practice location:
  • Phone: 703-243-7878
  • Fax:
Mailing address:
  • Phone: 571-705-6075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0019017720
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: