Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KESJANA DIVJAKA, LMT, CDT, MLD-C
Active Sole ProprietorKESJANA DIVJAKA, LMT, CDT, MLD-C is a Massage Therapist healthcare provider located in LITTLE FERRY, New Jersey. NPI 1578277935 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LITTLE FERRY, NJ
Registration Details
- NPI Number
- 1578277935
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2023 (3.6356847397278 yrs)
- Last Updated
- Jan 11, 2023
- License
-
18KT01388300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
269 US HIGHWAY 46 STE 128LITTLE FERRY, NJ, 076431438Browse NJ providers · Browse ZIP 07643
- Phone
- 5513528695
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in LITTLE FERRY, NJ
| Name | Credential | NPI |
|---|---|---|
| ILIA GERASSIMOV | LMT | 1285211961 |
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.