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NPI Code Detail

MEDICARE: RHONDA CAROL JONES LMT

MEDICARE: RHONDA CAROL JONES 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
1225700000XMassage TherapistMA 42294FL

General Provider Information

NPI Number : 1659740116
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA CAROL JONES LMT
Provider Business Mailing Address
First Line : 192 SW NORTH WAKEFIELD CIR
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34953-5909
Country : US
Telephone Number : 772-475-8677
Fax Number : 772-800-3099
Provider Business Practice Location Address
First Line : 192 SW NORTH WAKEFIELD CIR
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34953-5909
Country : US
Telephone Number : 772-475-8677
Fax Number : 772-800-3099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2015
Last Update Date : 10/06/2022

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Directions to “ RHONDA CAROL JONES LMT” Practice Location

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