Christine Licciardello, LMT
Massage Therapist in Bloomfield, New Jersey
1265105837- Practice location
- 12 Brook Place, Bloomfield, NJ 07003-0700
- Phone
- 973-303-2112
- Fax
- —
- Last updated
- July 29, 2021
Christine Licciardello is a Massage Therapist based in Bloomfield, NJ. Christine Licciardello practices in Bloomfield, NJ and has the professional credentials of LMT. The NPI Number for Christine Licciardello is 1265105837 and holds a License No. 18KT00993300 (NJ). The current practice location address for Christine Licciardello is 12 Brook Place, Bloomfield, NJ 07003-0700 and can be reached out via phone at 973-303-2112.
Provider Profile Details
- NPI Number
- 1265105837
- Provider Name
- Christine Licciardello
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12 Brook Place, Bloomfield, NJ 07003-0700
- Phone Number
- 973-303-2112
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 29, 2021
- Last Update Date
- July 29, 2021
- Certification Date
- July 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Brook Place
Bloomfield, NJ 07003-0700 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-0700
- Phone Number
- 973-303-2112
Provider Business Mailing Address Details
- Address
- 12 Brook Place
Bloomfield, NJ 07003 - City
- Bloomfield
- State
- NJ
- Zip
- 07003
- Phone Number
- 973-303-2112
License Information
- License Number
- 18KT00993300
- License State
- NJ
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Massage Therapists near Bloomfield, NJ
View all Massage Therapists in Bloomfield →Frequently Asked Questions
What is the NPI number of Christine Licciardello, LMT?
The NPI number of Christine Licciardello, LMT is 1265105837. It was assigned on July 29, 2021 and is currently active in the NPPES registry.
What is the specialty of Christine Licciardello, LMT?
Christine Licciardello, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in NJ under license number 18KT00993300.
Where does Christine Licciardello, LMT practice?
The practice location is 12 Brook Place, Bloomfield, NJ 07003-0700. The office can be reached at 973-303-2112 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265105837 directly on the NPPES registry website.