Individual provider · Type 1 NPI
Tia M. Jimmerson
Massage Therapist · New York, NY
NPI number
1396451217
Active
Practice location
33 W 17th St
New York, NY 10011-5511
Mailing address
324 Inverness Dr S Apt 7301
Englewood, CO 80112-6193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0010095 (CO) |
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 1396451217
Tia M. Jimmerson's National Provider Identifier is 1396451217, issued on Jan 24, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New York, NY. The record was last updated on Jan 24, 2023.