Individual provider · Type 1 NPI
Dawn Marie Maffucci, ATC, LMT
Massage Therapist · Wayne, NJ
NPI number
1255566931
Active
Practice location
15 Corporate Dr, Unit 6
Wayne, NJ 07470-3120
Mailing address
143 Walker Rd
West Orange, NJ 07052-3812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00148300 (NJ) |
| Massage Therapist Primary | 225700000X | 26BT00197500 (NJ) |
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 1255566931
Dawn Marie Maffucci, ATC, LMT's National Provider Identifier is 1255566931, issued on May 25, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wayne, NJ. The record was last updated on Nov 8, 2010.