Individual provider · Type 1 NPI

Gina Lynne Carlucci, LMT

Massage Therapist · Alexandria, VA

NPI number 1770873291 Active

Practice location

4300 King St
Alexandria, VA 22302-1503

Call (703) 933-9333 Map

Fax (703) 820-0755

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMT1472 (DC)
Massage Therapist 225700000X12315 (CA)
Massage Therapist 225700000XM04369 (MD)
Massage Therapist Primary 225700000X0019008942 (VA)

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 1770873291

Gina Lynne Carlucci, LMT's National Provider Identifier is 1770873291, issued on Apr 18, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Alexandria, VA. The record was last updated on Apr 18, 2011.