Individual provider · Type 1 NPI

Ponni Jeevan, LMT

Massage Therapist · Ashburn, VA

NPI number 1407600422 Active

Practice location

21281 Arcadia Ct
Ashburn, VA 20147-4876

Call (703) 774-6158 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019019302 (VA)

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 1407600422

Ponni Jeevan, LMT's National Provider Identifier is 1407600422, issued on Apr 16, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ashburn, VA. The record was last updated on Apr 16, 2024.