person
Jessica Licata, MASSAGETHERAPIST
Massage Therapist in Middle Island, New York
NPI 1619673787

Jessica Licata is a Massage Therapist based in Shoreham, NY. Jessica Licata practices in Middle Island, NY and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Jessica Licata is 1619673787 and holds a License No. 010928 (New York).

The current practice location address for Jessica Licata is 1225 Middle Country Rd, Middle Island, NY and can be reached out via phone at 631-637-6000.

Location: 1225 Middle Country Rd, Middle Island, NY, 11786-2249
person
Provider Profile Details
NPI Number
1619673787
Provider Name
Jessica Licata
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
1225 Middle Country Rd, Middle Island, NY, 11786-2249
Phone Number
631-637-6000
Fax Number
Provider Enumeration Date
02/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1225 Middle Country Rd
City
State
Zip
11953-2515
Phone Number
631-637-6000
Fax Number
person
Provider Business Mailing Address Details
Address
1225 Middle Country Rd
City
State
Zip
11953-2515
Phone Number
631-637-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
010928 (New York)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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