Individual provider · Type 1 NPI
Jennifer Dietz, LMT
Massage Therapist · Gardiner, NY
NPI number
1376007179
Active
Practice location
2356 Route 44 55 Ste F
Gardiner, NY 12525-5335
Mailing address
95 Tuthilltown Rd
Gardiner, NY 12525-5514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 030324-1 (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.
About NPI 1376007179
Jennifer Dietz, LMT's National Provider Identifier is 1376007179, issued on Jan 25, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gardiner, NY. The record was last updated on Jan 25, 2019.