Individual provider · Type 1 NPI
Jillian Sopp, LMT
Massage Therapist · Scranton, PA
NPI number
1275687956
Active
Practice location
NE Rehabilitation Associates, Pc 5 Morgan Hwy, Suite 4
Scranton, PA 18508
Fax (570) 614-0212
Mailing address
313 W Grove St
Taylor, PA 18517-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MSG000559 (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 1275687956
Jillian Sopp, LMT's National Provider Identifier is 1275687956, issued on Jan 22, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Scranton, PA. The record was last updated on Mar 21, 2011.