PEGGIE BENNETT


Address: 9951 Atlantic Blvd, Suite 217, Jacksonville, FL 32225-6584
Phone: 9046623290

PEGGIE BENNETT (NPI# 1467822437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467822437
Entity Type Individual
Full Name PEGGIE BENNETT
Practice Address 9951 Atlantic Blvd
Suite 217
Jacksonville
FL 32225-6584
Mailing Address 7672 Jana Ln S
Jacksonville
FL 32210-8702
Practice Telephone 9046623290
Mailing Telephone 9046623290
Enumeration Date 2015-10-02
Last Update Date 2015-10-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 56884 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 9951 ATLANTIC BLVD
SUITE 217
City JACKSONVILLE
State FL
Zip Code 32225-6584

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NPI Name Taxonomy Address Enumeration
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Providers in the same zip code

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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

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Competitor

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City JACKSONVILLE
Zip Code 32225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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