person
Jacqueline Sue Didur, LMT
Massage Therapist in Youngstown, Ohio
NPI 1730546375

Jacqueline Sue Didur is a Massage Therapist based in Youngstown, OH. Jacqueline Sue Didur practices in Youngstown, OH and has the professional credentials of LMT. The NPI Number for Jacqueline Sue Didur is 1730546375 and holds a License No. 33.011438 (Ohio).

The current practice location address for Jacqueline Sue Didur is 6960 Market St, Youngstown, OH and can be reached out via phone at 330-758-8060 and via fax at 330-758-8060. You can also correspond with Jacqueline Sue Didur through the mailing address at 6960 MARKET ST, YOUNGSTOWN, OH - 44512-4559 (mailing address contact number: 330-758-8060).

Location: 6960 Market St, Youngstown, OH, 44512-4559
person
Provider Profile Details
NPI Number
1730546375
Provider Name
Jacqueline Sue Didur
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
6960 Market St, Youngstown, OH, 44512-4559
Phone Number
330-758-8060
Fax Number
330-758-8060
Provider Enumeration Date
01/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
611416126-00 01 OH EIN
institution
Provider Business Practice Location Address Details
Address
6960 Market St
City
State
Zip
44512-4559
Phone Number
330-758-8060
Fax Number
330-758-8060
person
Provider Business Mailing Address Details
Address
6960 Market St
City
State
Zip
44512-4559
Phone Number
330-758-8060
Fax Number
330-758-8060
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
33.011438 (Ohio)
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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