Individual provider · Type 1 NPI

Jennifer Dawn Long, LMT

Massage Therapist · Stanton, MI

NPI number 1730733460 Active

Practice location

620 N State St
Stanton, MI 48888-8749

Mailing address

5809 E Klees Rd
Stanton, MI 48888-9408

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501008361 (MI)

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 1730733460

Jennifer Dawn Long, LMT's National Provider Identifier is 1730733460, issued on Jul 31, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stanton, MI. The record was last updated on Jul 31, 2019.