Individual provider · Type 1 NPI
Jacqulyn C. Ingram, LMT
Massage Therapist · Cleveland, OH
NPI number
1689186611
Active
Practice location
10607 Drexel Ave
Cleveland, OH 44108-3604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 33.023653 (OH) |
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 1689186611
Jacqulyn C. Ingram, LMT's National Provider Identifier is 1689186611, issued on Oct 31, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cleveland, OH. The record was last updated on Oct 31, 2017.