Individual provider · Type 1 NPI
Jack Brett Passarella, LMT
Massage Therapist · Berlin, NJ
NPI number
1497279376
Active
Practice location
12 W Taunton Ave
Berlin, NJ 08009-1442
Fax (856) 768-6412
Mailing address
420 Chestnut St
Atco, NJ 08004-2127
Other practice locations
- 332 Haddon Ave, Haddon Township, NJ 08108-2833 · (609) 707-1096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT00278700 (NJ) |
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.
About NPI 1497279376
Jack Brett Passarella, LMT's National Provider Identifier is 1497279376, issued on Aug 1, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Berlin, NJ. The record was last updated on Mar 17, 2018.