National Provider Identifier
Jenelle Marie Riker, LMT
Jenelle Marie Riker, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (607) 591-1563.
Profile Overview
- NPI
- 1073073961
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 25, 2019
- Last Updated
- March 25, 2019
Practice Location
- 821 Cliff St
- Ithaca, NY 14850-2097
Phone: (607) 591-1563
Mailing Address
- PO Box 544
- Marathon, NY 13803-0544
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1073073961
- Entity Type
- Individual
- Last Name
- Riker
- First Name
- Jenelle
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LMT
- Mailing Street Address
- PO Box 544
- Mailing City
- Marathon
- Mailing State
- NY
- Mailing ZIP Code
- 13803-0544
- Mailing Country
- US
- Practice Street Address
- 821 Cliff St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-2097
- Practice Country
- US
- Practice Phone
- (607) 591-1563
- Enumeration Date
- March 25, 2019
- Last Updated
- March 25, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)