Jenine V Beckford, LMT

Individual provider Active NPI Massage Therapist · Juno Beach, FL

NPI 1023318581 · NPPES record last updated Oct 29, 2010

Key facts

NPI
1023318581
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA59747 (FL)
Practice address
570 Ocean Dr
#501
Juno Beach, FL 33408-1952
Phone
(954) 476-6401
NPI assigned
Oct 29, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA59747FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA59747 FL Yes

Addresses

Primary practice location

570 Ocean Dr
#501
Juno Beach, FL 33408-1952

Mailing address

1484 Avon LN
Apt 24
North Lauderdale, FL 33068-5584
Phone (954) 934-5249

Other identifiers

IdentifierTypeStateIssuer
MA59747OtherFLLICENSED MASSAGE THERAPIST

Other providers in Juno Beach, FL

All providers in Juno Beach, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.