Individual provider · Type 1 NPI
Jessica Dougherty, LMT
Massage Therapist · New Albany, IN
NPI number
1144651001
Active
Practice location
304 Wainwright Dr
New Albany, IN 47150-3830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT21304750 (IN) |
| Massage Therapist | 225700000X | KY-4832 (KY) |
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 1144651001
Jessica Dougherty, LMT's National Provider Identifier is 1144651001, issued on Dec 3, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New Albany, IN. The record was last updated on Dec 3, 2013.