Individual provider · Type 1 NPI

Jillian Marie Zaccarella, LMT, COSMOTOLOGIST

Massage Therapist · Lewiston, NY

NPI number 1548564933 Active

Practice location

105 S 4th St
Lewiston, NY 14092-1522

Mailing address

4946 Hillview Ct
Lewiston, NY 14092-1810

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X019806 (NY)

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 1548564933

Jillian Marie Zaccarella, LMT, COSMOTOLOGIST's National Provider Identifier is 1548564933, issued on Dec 29, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewiston, NY. The record was last updated on Dec 29, 2010.