Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELINE DEDOMENICO, LMT
Active Sole ProprietorMassage Therapist · MASSAPEQUA, NY
Registration Details
- NPI Number
- 1043817018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2020 (5.5629584750537 yrs)
- Last Updated
- Oct 2, 2020
- License
-
015300-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
72 PARKHILL AVEMASSAPEQUA, NY, 117584553Browse NY providers · Browse ZIP 11758
- Phone
- 5168402383
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in MASSAPEQUA, NY
| Name | Credential | NPI |
|---|---|---|
| MARIA MOURELATOS | PTA | 1780881060 |
| MICHELE WEEKS | LMT, CPT | 1841468691 |
| HEATHER L HOLMAN | L.M.T. | 1457596256 |
| MS. JENNIFER J CHARVAT | LMT | 1710475009 |
| MS. FRANCESCA MCQUADE | MT | 1487140505 |
| MS. DIANE ELAINE MCMILLAN | LMT | 1164918736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.