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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JITLADDA BANNON

Active

JITLADDA BANNON is a Massage Therapist healthcare provider located in FARMINGDALE, New York. NPI 1164299657 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · FARMINGDALE, NY

Registration Details

NPI Number
1164299657
Provider Type
Individual
Gender
Female
NPI Issued
Dec 5, 2023 (2.6799443493977 yrs)
Last Updated
Dec 5, 2023
License
033328 (NY)

Practice Information

Address
25 W OAK ST
FARMINGDALE, NY, 117353121
Browse NY providers · Browse ZIP 11735
Phone
5163761503
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in FARMINGDALE, NY

Name Credential NPI
COURTNEY RUBENACKER LMT 1841441227
MS. KAREN E ROSEN L.M.T. 1912144056
MR. BRIAN L. FIGUEROA L.M.T. 1023258597
MR. LUIS URRUTIA LMT 1093947962
MRS. HEATHER DAWN LEE L.M.T. 1609103118
CAROLYN COLOMBO L.M.T. 1821405333
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.