Individual provider · Type 1 NPI
Jillene Virginia Decarlo, LMT
Massage Therapist · Maynardville, TN
NPI number
1740059559
Active
Practice location
110 Skyline Dr Ste B
Maynardville, TN 37807-3063
Fax (865) 992-6870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0000012525 (TN) |
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.
3 other providers at this address
About NPI 1740059559
Jillene Virginia Decarlo, LMT's National Provider Identifier is 1740059559, issued on Dec 21, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maynardville, TN. The record was last updated on Dec 21, 2023.