National Provider Identifier
Jacqueline Diane Nitka, LMT
Jacqueline Diane Nitka, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Rochester, NY and a listed phone number of (585) 586-7630.
Profile Overview
- NPI
- 1225255912
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- April 20, 2007
- Last Updated
- July 08, 2007
Practice Location
- 625 Panorama Trl
- Bldg 1
- Rochester, NY 14625-2404
Phone: (585) 586-7630
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1225255912
- Entity Type
- Individual
- Last Name
- Nitka
- First Name
- Jacqueline
- Middle Name
- Diane
- Credential
- LMT
- Mailing Street Address
- 625 Panorama Trl
- Mailing Address Line 2
- Bldg 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-2404
- Mailing Country
- US
- Mailing Phone
- (585) 586-7630
- Mailing Fax
- (585) 586-7695
- Practice Street Address
- 625 Panorama Trl
- Practice Address Line 2
- Bldg 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-2404
- Practice Country
- US
- Practice Phone
- (585) 586-7630
- Practice Fax
- (585) 586-7695
- Enumeration Date
- April 20, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)