JILL JEGLUM (NPI# 1497159339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497159339 |
| Entity Type | Individual |
| Full Name | JILL JEGLUM |
| Credential | LMT |
| Practice Address |
3804 Se Jefferson St Stuart FL 34997-5435 |
| Practice Telephone | 5204741883 |
| Mailing Telephone | 5204741883 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA28503 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3804 SE JEFFERSON ST |
| City | STUART |
| State | FL |
| Zip Code | 34997-5435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| 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 |
|---|---|---|---|---|
| 1720694052 | Michael A. Strauss | Massage Therapist | 2216 Nw 22nd Ave Apt 114, Stuart, FL 34994-9274 | 2020-09-22 |
| 1053926543 | Angela Ahmadi | Massage Therapist | 3073 Se Bamboo St, Stuart, FL 34997-7832 | 2020-09-10 |
| 1164036356 | Marjorie Collins | Massage Therapist | 5981 Se Windsong Ln, Stuart, FL 34997-8262 | 2020-09-04 |
| 1043729627 | Jodi Morris Jaroschak | Massage Therapist | 7301 Sw Gaines Ave, Stuart, FL 34997-7332 | 2017-09-26 |
| 1558804278 | Susan Gibson | Massage Therapist | 5143 Se Blue Heron Ln, Stuart, FL 34997-3314 | 2016-11-29 |
| 1700217312 | Amanda Vanderheyden | Massage Therapist | 206 Sw Atlanta Ave, Stuart, FL 34994-2034 | 2013-12-06 |
| 1487905832 | Robert Albert Murray | Massage Therapist | 684 Se Monterey Rd, Stuart, FL 34994-4410 | 2012-09-25 |
| 1558641480 | Laura Mejia | Massage Therapist | 613 Se Central Pkwy, Stuart, FL 34994-3984 | 2011-08-23 |
| 1730468075 | Lenore F Baker | Massage Therapist | 851 Se Johnson Ave, Suite 210, Stuart, FL 34994-3000 | 2011-08-04 |
| 1538468103 | Chelsea Rasmussen | Massage Therapist | 422 Sw Akron Ave, Stuart, FL 34994-2949 | 2011-03-22 |
| Find all providers in STUART | ||||
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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.