Jenkins, Matthew Wyatt

Jenkins, Matthew Wyatt is an sole proprietor health care provider with primary practice located at 3040 E College Ave , Ruskin FL 33570-5220. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Jenkins, Matthew Wyatt can be contacted via phone (813) 331-3940.

Contact Information

Primary practice address
3040 E College Ave Ruskin FL 33570-5220
Phone: (813) 331-3940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA82617 Florida

Profile Details

NPI number 1417573122
LBN Legal business name Jenkins, Matthew Wyatt
Credentials MSOM BHS LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2020
Last updated Jun 18th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417573122 NPPES
Florida Other MA82617 STATE OF FL

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