Individual provider · Type 1 NPI

Jacqueline Dedomenico, LMT

Massage Therapist · Massapequa, NY

NPI number 1043817018 Active

Practice location

72 Parkhill Ave
Massapequa, NY 11758-4553

Call (516) 840-2383 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X015300-1 (NY)

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.

Other massage therapist providers in Massapequa

See all in Massapequa →

About NPI 1043817018

Jacqueline Dedomenico, LMT's National Provider Identifier is 1043817018, issued on Oct 2, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Massapequa, NY. The record was last updated on Oct 2, 2020.