Individual provider · Type 1 NPI

Lisa Ann Jeske, LMT, RN

Massage Therapist · Syracuse, NY

NPI number 1780196188 Active

Practice location

1106 E Genesee St
Syracuse, NY 13210-1912

Mailing address

30 North St
Marcellus, NY 13108-1230

Other practice locations

  • 4303 Slate Hill Rd, Marcellus, NY 13108-9511 · (315) 440-4816

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030211 (NY)

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 1780196188

Lisa Ann Jeske, LMT, RN's National Provider Identifier is 1780196188, issued on Oct 26, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Syracuse, NY. The record was last updated on Mar 17, 2018.