Individual provider · Type 1 NPI

Jessica Licata, MASSAGE THERAPIST

Massage Therapist · Middle Island, NY

NPI number 1619673787 Active

Practice location

1225 Middle Country Rd
Middle Island, NY 11953-2515

Call (631) 637-6000 Map

Mailing address

37 Vee Jay Dr
Shoreham, NY 11786-2249

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X010928 (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 1619673787

Jessica Licata, MASSAGE THERAPIST's National Provider Identifier is 1619673787, issued on Feb 1, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Middle Island, NY. The record was last updated on Feb 1, 2023.