Individual provider · Type 1 NPI
Elaina Jean Evans, LMT
Massage Therapist · Glenwood, NJ
NPI number
1619415486
Active
Practice location
4 Vernon Xing
Glenwood, NJ 07418-2106
Mailing address
119 Drew Rd
Sussex, NJ 07461-4520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT00532300 (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 1619415486
Elaina Jean Evans, LMT's National Provider Identifier is 1619415486, issued on Feb 1, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Glenwood, NJ. The record was last updated on Feb 1, 2017.