Individual provider · Type 1 NPI

Jacqueline Marie Santulli, LMT

Massage Therapist · Liverpool, NY

NPI number 1104487420 Active

Practice location

181 Blackberry Rd
Liverpool, NY 13090-3000

Mailing address

183 Northridge Dr
Central Square, NY 13036-2628

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X018339 (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.

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About NPI 1104487420

Jacqueline Marie Santulli, LMT's National Provider Identifier is 1104487420, issued on Jun 26, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Liverpool, NY. The record was last updated on Jun 26, 2019.