Individual provider · Type 1 NPI

Jenna Dawn Frederick

Massage Therapist · Ephrata, PA

NPI number 1235605155 Active

Practice location

918 N Reading Rd
Ephrata, PA 17522-9794

Mailing address

1205 Ridge Ave
Ephrata, PA 17522-9782

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMSG012637 (PA)

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 1235605155

Jenna Dawn Frederick's National Provider Identifier is 1235605155, issued on Oct 18, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ephrata, PA. The record was last updated on Oct 18, 2018.