Individual provider · Type 1 NPI
Jacquelynne Breske, LMT
Massage Therapist · Mooresville, NC
NPI number
1073258075
Active
Practice location
151 Capital Ave Apt 1104
Mooresville, NC 28117-5641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 270620 (KY) |
| Massage Therapist Primary | 225700000X | 20198 (NC) |
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.
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About NPI 1073258075
Jacquelynne Breske, LMT's National Provider Identifier is 1073258075, issued on May 3, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mooresville, NC. The record was last updated on May 3, 2022.