Individual provider · Type 1 NPI

Jessica Maria Fasano, LMT, CLT, MLD-C

Massage Therapist · Syosset, NY

NPI number 1649872805 Active

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.