Individual provider · Type 1 NPI

Jenna Michal Defazio, LMT LICENSED MASSAGE

Massage Therapist · Juno Beach, FL

NPI number 1376762559 Active

Practice location

570 Ocean Dr, Holistic Massage And Wellness Clinics #501
Juno Beach, FL 33408

Fax (954) 491-6862

Mailing address

9500 N Hollybrook Lake Drive, #303
Pembroke Pines, FL 33025

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1376762559

Jenna Michal Defazio, LMT LICENSED MASSAGE's National Provider Identifier is 1376762559, issued on Apr 25, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Juno Beach, FL. The record was last updated on Jul 8, 2007.