Individual provider · Type 1 NPI

Jennifer Marie Van Dyke, LMT

Massage Therapist · Congers, NY

NPI number 1609405422 Active

Practice location

206 Foltim Way
Congers, NY 10920-1432

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X18KT00101700 (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.

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About NPI 1609405422

Jennifer Marie Van Dyke, LMT's National Provider Identifier is 1609405422, issued on Apr 3, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Congers, NY. The record was last updated on Apr 3, 2020.