National Provider Identifier

Jessica Decker

Jessica Decker is listed in the NPPES registry with a primary specialty of Massage Therapist in Grand Island, NY and a listed phone number of (716) 580-3044.

NPI 1447996798Grand Island, NYMassage Therapist

Profile Overview

NPI
1447996798
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
May 10, 2022
Last Updated
May 10, 2022

Practice Location

  • 2283 Grand Island Blvd
  • Grand Island, NY 14072-1819

Phone: (716) 580-3044

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1447996798
Entity Type
Individual
Last Name
Decker
First Name
Jessica
Mailing Street Address
2283 Grand Island Blvd
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1819
Mailing Country
US
Mailing Phone
(716) 580-3044
Practice Street Address
2283 Grand Island Blvd
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-1819
Practice Country
US
Practice Phone
(716) 580-3044
Enumeration Date
May 10, 2022
Last Updated
May 10, 2022
Sex
Female
Sole Proprietor
No
Certification Date
May 10, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)