Individual provider · Type 1 NPI
Jessica Suzan Polito, LMT
Massage Therapist · Urbandale, IA
NPI number
1093157299
Active
Practice location
3682 68th St, Suite 9
Urbandale, IA 50322-3401
Mailing address
4145 4th St
Des Moines, IA 50313-3525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 006341 (IA) |
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 1093157299
Jessica Suzan Polito, LMT's National Provider Identifier is 1093157299, issued on Jul 29, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Urbandale, IA. The record was last updated on Jul 29, 2013.