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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 018339 (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.