5TH Essentials LLC
Organization Active NPI Massage Therapist · Jacksonville, FL
NPI 1114760246 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1114760246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Massage Therapist 225700000X
- Legal business name
- 5TH ESSENTIALS LLC
- Practice address
- 5706 Blackthorn Rd
Jacksonville, FL 32244-2008 - Phone
- (904) 385-3288
- NPI assigned
- Jun 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Josie Jackson, LMT
- Title
- Owner
- Phone
- (210) 999-0960
Practitioners 1
-
Josie Jackson, LMT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach |
171400000X | |||
| Massage Therapist |
225700000X | Yes | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Assisted Living Facility | 310400000X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Chore Provider |
372500000X | |||
| Home Health Aide |
374U00000X |
Addresses
Primary practice location
5706 Blackthorn Rd
Jacksonville, FL 32244-2008
Mailing address
5706 Blackthorn Rd
Jacksonville, FL 32244-2008
Phone (904) 385-3288
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.