Individual provider · Type 1 NPI

Jacqueline Nicole Ellis, LMT

Massage Therapist · Fredericksburg, VA

NPI number 1104750983 Active

Practice location

242 Butler Rd Ste 101
Fredericksburg, VA 22405-2441

Call (540) 321-5788 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019020933 (VA)

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.

7 other providers at this address

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About NPI 1104750983

Jacqueline Nicole Ellis, LMT's National Provider Identifier is 1104750983, issued on Jun 9, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fredericksburg, VA. The record was last updated on Jun 9, 2026.