Individual provider · Type 1 NPI

Jitladda Bannon

Massage Therapist · Farmingdale, NY

NPI number 1164299657 Active

Practice location

25 W Oak St
Farmingdale, NY 11735-3121

Call (516) 376-1503 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X033328 (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 1164299657

Jitladda Bannon's National Provider Identifier is 1164299657, issued on Dec 5, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Farmingdale, NY. The record was last updated on Dec 5, 2023.