Individual provider · Type 1 NPI

Jennifer Lake, LMT

Massage Therapist · Hixson, TN

NPI number 1467799940 Active

Practice location

5211 Highway 153 Ste D
Hixson, TN 37343-4957

Mailing address

5211 Hwy 153 Ste D
Hixson, TN 37343

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT0000009393 (TN)

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 1467799940

Jennifer Lake, LMT's National Provider Identifier is 1467799940, issued on Jan 3, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hixson, TN. The record was last updated on Jan 3, 2013.