Individual provider · Type 1 NPI

Jennifer Derecola, LMT

Massage Therapist · Fleetwood, PA

NPI number 1821388042 Active

Practice location

14128 Kutztown Rd.
Fleetwood, PA 19522

Mailing address

6 Hearthstone Ct., 200
Reading, PA 19606

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1821388042

Jennifer Derecola, LMT's National Provider Identifier is 1821388042, issued on Apr 8, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fleetwood, PA. The record was last updated on Apr 8, 2011.