Individual provider · Type 1 NPI

Jasmine Whitney Kennerly, LMT

Massage Therapist · Glen Cove, NY

NPI number 1740929470 Active

Practice location

100 Village Sq Apt 217
Glen Cove, NY 11542-2598

Call (631) 624-4893 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X028678-1 (NY)
Massage Therapist Primary 225700000X028678-1

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 1740929470

Jasmine Whitney Kennerly, LMT's National Provider Identifier is 1740929470, issued on Jun 1, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Glen Cove, NY. The record was last updated on Jun 1, 2022.