Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JILLENE VIRGINIA DECARLO, LMT
Active Sole ProprietorMS. JILLENE VIRGINIA DECARLO, LMT is a Massage Therapist healthcare provider located in MAYNARDVILLE, Tennessee. NPI 1740059559 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MAYNARDVILLE, TN
Registration Details
- NPI Number
- 1740059559
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2023 (2.6402175584979 yrs)
- Last Updated
- Dec 21, 2023
- License
-
0000012525 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 SKYLINE DR STE BMAYNARDVILLE, TN, 378073063Browse TN providers · Browse ZIP 37807
- Phone
- 8659926933
- Fax
- 8659926870
- Primary Specialty
-
Massage Therapist
225700000X
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.