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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X006341 (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.