Individual provider · Type 1 NPI

Christine Licciardello, LMT

Massage Therapist · Bloomfield, NJ

NPI number 1265105837 Active

Practice location

12 Brook Place
Bloomfield, NJ 07003-0700

Call (973) 303-2112 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18KT00993300 (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 1265105837

Christine Licciardello, LMT's National Provider Identifier is 1265105837, issued on Jul 29, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bloomfield, NJ. The record was last updated on Jul 29, 2021.