NPI 1114760246 · live from the CMS NPI Registry
5th Essentials LLC
Massage Therapist in Jacksonville, FL. National Provider Identifier 1114760246, active.
NPI record
| NPI | 1114760246 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 5706 Blackthorn Rd, Jacksonville, FL 32244 |
| Practice phone | 904-385-3288 |
| Enumerated | June 17, 2024 |
| Last updated | July 24, 2024 |
| Authorized official | Josie Jackson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | — |
| Massage Therapist primary | 225700000X | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — |
| In Home Supportive Care | 253Z00000X | — |
| Assisted Living Facility | 310400000X | — |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — |
| Non-emergency Medical Transport (VAN) | 343900000X | — |
| Private Vehicle | 347C00000X | — |
| Chore Provider | 372500000X | — |
| Home Health Aide | 374U00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.