JEFFERY WERTZ (NPI# 1326532680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326532680 |
| Entity Type | Individual |
| Full Name | JEFFERY WERTZ |
| Credential | LMT |
| Practice Address |
9765 San Jose Blvd Ste 106 Jacksonville FL 32257-5467 |
| Practice Telephone | 9045515350 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA83629 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9765 SAN JOSE BLVD STE 106 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32257-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206684 | Alexandra Erin Hatcher | Physical Therapist | 9765 San Jose Blvd Ste 106, Jacksonville, FL 32257-5467 | 2019-10-10 |
| 1982265781 | Cynthia Eisman | Physical Therapy Assistant | 9765 San Jose Blvd Ste 106, Jacksonville, FL 32257-5467 | 2019-06-24 |
| 1033671896 | Summer Christian Teague | Massage Therapist | 9765 San Jose Blvd Ste 106, Jacksonville, FL 32257-5467 | 2019-04-02 |
| 1568926640 | Kirstin Renee Horn | Massage Therapist | 9765 San Jose Blvd Ste 106, Jacksonville, FL 32257-5467 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835842 | Majdoline Kasera | Pharmacist | 11250-4 Old St Augustine Rd, Jacksonville, FL 32257 | 2019-08-06 |
| 1386203859 | Jetaime Y Lewis | Physical Therapist | 9765 San Jose Blvd Ste 6, Jacksonville, FL 32257 | 2019-06-10 |
| 1437622107 | Michelle Espanol Garcia | Nurse Practitioner | 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 | 2019-01-05 |
| 1982172995 | Pacifica Augustine Road LLC | Alzheimer Center (Dementia Center) | 10660 Old Augustine Road, Jacksonville, FL 32257 | 2018-11-07 |
| 1659860492 | Andrea Leigh Miller | Social Worker | 10416 Spotted Fawn Lane, Jacksonville, FL 32257 | 2018-05-08 |
| 1376049965 | Stephanie Lynne Jordon | Nurse Practitioner | 9765 San Jose Blvd Ste 102, Jacksonville, FL 32257 | 2018-04-02 |
| 1205335619 | Annetta Aileen Brown | Respite Care | 4901 Sunbeam Rd Apt 1016, Jacksonville, FL 32257 | 2018-02-12 |
| 1841714888 | Freda Stevens | Counselor | 9521 Shellie Road Unit 13, Jacksonville, FL 32257 | 2017-08-01 |
| 1659821353 | Jennifer Lavoro | Acupuncturist | 11259 Thomaston Pl, Jacksonville, FL 32257 | 2016-10-06 |
| 1225488232 | Avenues Dental LLC | Dentist | 6144 Gazebo Park Place South, Ste 210, Jacksonville, FL 32257 | 2016-06-21 |
| Find all providers in zip 32257 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142299 | Undra Williams | Massage Therapist | 5900 Townsend Rd Apt 813, Jacksonville, FL 32244-4579 | 2020-10-21 |
| 1356958771 | Jared Franklin | Massage Therapist | 1540 El Prado Rd Apt 1, Jacksonville, FL 32216-2965 | 2020-09-29 |
| 1043826613 | Eric Gene Thompson | Massage Therapist | 2386 Villanova Cir # Na, Jacksonville, FL 32218-5123 | 2020-09-19 |
| 1720693757 | Cathleen Ann Smith | Massage Therapist | 13051 Gran Bay Pkwy Unit 2321, Jacksonville, FL 32258-6520 | 2020-09-15 |
| 1720693286 | Paul Andrew Hudson | Massage Therapist | 13108 Harborton Dr, Jacksonville, FL 32224-7403 | 2020-09-11 |
| 1063026748 | Sandra Nicole Frye | Massage Therapist | 5894 Long Branch Rd, Jacksonville, FL 32234 | 2020-09-01 |
| 1104437821 | Crystal Delgado Mccraw | Massage Therapist | 869 Stockton St Ste 8, Jacksonville, FL 32204-3590 | 2020-08-14 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1659904514 | Kyoko Provencio | Massage Therapist | 136 Gregory Pl, Jacksonville, AR 72076-3212 | 2020-02-19 |
| 1750933529 | James Bradley Toon | Massage Therapist | 12443 San Jose Blvd Ste 801, Jacksonville, FL 32223-8654 | 2019-07-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32257 |
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| 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.