Jill L Branch
Individual provider Active NPI Massage Therapist · Juno Beach, FL
NPI 1659633345 · NPPES record last updated Jun 9, 2012
Key facts
- NPI
- 1659633345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA56984 (FL)
- Practice address
- 570 Ocean Dr
#501
Juno Beach, FL 33408-1952 - Phone
- (954) 404-7559
- NPI assigned
- Jun 9, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA56984 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA56984 | FL | Yes |
Addresses
Primary practice location
570 Ocean Dr
#501
Juno Beach, FL 33408-1952
Mailing address
341 E Sheridan St
#205
Dania Beach, FL 33004-5524
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA56984 | Other | FL | LMT |
Other providers in Juno Beach, FL
- Wendy L Berke
- Vassilia Binensztok
- Linda Inez Bland
- Jane Bonk-Thomson
- Ian Tygar Braden
- Stephanie Brust
- Marisol Caballero
- Maria Lalu Carlsward
- Amor Yasmin Castro
- Robert P Catanese
All providers in Juno Beach, FL · Massage Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2012. 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.