Individual provider · Type 1 NPI
Jessica Maria Fasano, LMT, CLT, MLD-C
Massage Therapist · Syosset, NY
NPI number
1649872805
Active
Practice location
28 Lilac Dr
Syosset, NY 11791-2815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 030477 (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 1649872805
Jessica Maria Fasano, LMT, CLT, MLD-C's National Provider Identifier is 1649872805, issued on Nov 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Syosset, NY. The record was last updated on Nov 12, 2020.