Siomara Yanilet Jacobo in Winter Park - Massage Therapist
Siomara Yanilet Jacobo - NPI 1841413580
Siomara Yanilet Jacobo is a Massage Therapist in Winter Park, Florida. Siomara Yanilet Jacobo practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Siomara Yanilet Jacobo is 1841413580. The last update date is 2007-07-08.
Siomara Yanilet Jacobo's current location address is 1936 Lee Road, Winter Park, Florida. You can contact this provider via phone number 4076443737 and fax number 4076443009. The mailing address for Siomara Yanilet Jacobo is 1936 Lee Road, Winter Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Siomara Yanilet Jacobo |
|---|---|
| Address | 1936 Lee Road, Winter Park, Florida |
| Phone Number | 4076443737 |
| Fax Number | 4076443009 |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1841413580 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1936 Lee Road |
|---|---|
| City | Winter Park |
| State | Florida (FL) |
| Post Code | 32789 |
| Phone Number | 4076443737 |
| Fax Number | 4076443009 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA49679 |
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Definition: 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. |
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What is the unique 10-digit identification code assigned to Siomara Yanilet Jacobo by the Centers for Medicare & Medicaid Services?
The Siomara Yanilet Jacobo has been issued the NPI (National Provider Identifier) 1841413580, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Siomara Yanilet Jacobo is physically located?
The Siomara Yanilet Jacobo is physically situated at the following address: 1936 Lee Road, Winter Park, FL, 32789.
What is Siomara Yanilet Jacobo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Siomara Yanilet Jacobo's area of specialization is Massage Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225700000X.
On what date did the Siomara Yanilet Jacobo receive its 1841413580 assignment from the Centers for Medicare & Medicaid Services?
The Siomara Yanilet Jacobo was assigned its 1841413580 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the details related to Siomara Yanilet Jacobo most recently updated or revised?
The information pertaining to Siomara Yanilet Jacobo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA