Individual provider · Type 1 NPI
Jaclyn Lagravinese, MASSAGE THERAPIST
Massage Therapist · Phoenix, AZ
NPI number
1649925637
Active
Practice location
16025 S 50th St Apt 1017
Phoenix, AZ 85048-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17459 (AZ) |
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 1649925637
Jaclyn Lagravinese, MASSAGE THERAPIST's National Provider Identifier is 1649925637, issued on Feb 17, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 17, 2022.