Individual provider · Type 1 NPI
Jennifer M. Lassonde, LMT
Massage Therapist · Covington, GA
NPI number
1407109515
Active
Practice location
120 Allen Oaks Way
Covington, GA 30016-4515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT006421 (GA) |
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 1407109515
Jennifer M. Lassonde, LMT's National Provider Identifier is 1407109515, issued on Oct 26, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Covington, GA. The record was last updated on Jan 24, 2017.