Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH WAYNE WALDBURG JR.

Active Sole Proprietor

MR. KENNETH WAYNE WALDBURG JR. is a Massage Therapist healthcare provider located in JACKSONVILLE, Florida. NPI 1316712698 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · JACKSONVILLE, FL

Registration Details

NPI Number: 1316712698
Provider Type: Individual
Gender: Male
NPI Issued: Nov 16, 2023 (2.7366559961121 yrs)
Last Updated: Nov 16, 2023
License: MA62122 (FL)
Sole Proprietor: Yes

Practice Information

Address: 4629 GERBER CT

JACKSONVILLE, FL, 322101411
Browse FL providers · Browse ZIP 32210
Phone: 9047903671
Primary Specialty: Massage Therapist
225700000X

Other Massage Therapist Providers in JACKSONVILLE, FL

Name	Credential	NPI
MR. MICHAEL LEON GARCIA	R.N., L.M.T.	1639193436
MRS. JAMIE KOHRN	LMT	1306851712
MRS. JEANNE MARILYN CICCIO-ANDERSON	LMT	1104833706
JAMES L ABBOTT	LMT, NCTMB	1649287244
D R VENCIL	LMT	1487661005
MS. SANDRA JEAN MURPHY	LMT	1578666160

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.