Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Lee Van Wyngaardt, LMT

Individual provider Massage Therapist · NPI 1093562936

Jennifer Lee Van Wyngaardt, LMT is a Massage Therapist in Saint Augustine, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

1797 Old Moultrie Rd Ste 103
Saint Augustine, FL 32084-5721
Phone: (904) 844-1616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 97382 (FL)

Record details

NPI number1093562936
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

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