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Ms. Jillene Virginia Decarlo, LMT
Massage Therapist in Maynardville, Tennessee
NPI 1740059559

Jillene Virginia Decarlo is a Massage Therapist based in Maynardville, TN. Jillene Virginia Decarlo practices in Maynardville, TN and has the professional credentials of LMT. The NPI Number for Jillene Virginia Decarlo is 1740059559 and holds a License No. 0000012525 (Tennessee).

The current practice location address for Jillene Virginia Decarlo is 110 Skyline Dr Ste B, Maynardville, TN and can be reached out via phone at 865-992-6933 and via fax at 865-992-6870.

Location: 110 Skyline Dr Ste B, Maynardville, TN, 37807-3063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740059559
Provider Name
Jillene Virginia Decarlo
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
110 Skyline Dr Ste B, Maynardville, TN, 37807-3063
Phone Number
865-992-6933
Fax Number
865-992-6870
Provider Enumeration Date
12/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Skyline Dr Ste B
City
Maynardville
State
Tennessee
Zip
37807-3063
Phone Number
865-992-6933
Fax Number
865-992-6870
person
Provider Business Mailing Address Details
Address
110 Skyline Dr Ste B
City
Maynardville
State
Tennessee
Zip
37807-3063
Phone Number
865-992-6933
Fax Number
865-992-6870
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0000012525 (Tennessee)
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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