Individual provider · Type 1 NPI
Jacqueline De Vries, LMT
Massage Therapist · Ramsey, NJ
NPI number
1780960765
Active
Practice location
500A Lake St Ste A
Ramsey, NJ 07446-1356
Mailing address
34 Split Rock Rd
Mahwah, NJ 07430-1015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT00090600 (NJ) |
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.
Other massage therapist providers in Ramsey
About NPI 1780960765
Jacqueline De Vries, LMT's National Provider Identifier is 1780960765, issued on Oct 22, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ramsey, NJ. The record was last updated on Dec 15, 2020.