National Provider Identifier

Jessica Rose Dentinger, L.M.T.

Jessica Rose Dentinger, L.M.T. is listed in the NPPES registry with a primary specialty of Massage Therapist in Corfu, NY and a listed phone number of (585) 356-7653.

NPI 1528224771Corfu, NYMassage Therapist

Profile Overview

NPI
1528224771
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
August 06, 2008
Last Updated
August 06, 2008

Practice Location

  • 24 E Main St
  • Corfu, NY 14036

Phone: (585) 356-7653

Mailing Address

  • PO Box 2
  • Alexander, NY 14005-0002

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1528224771
Entity Type
Individual
Last Name
Dentinger
First Name
Jessica
Middle Name
Rose
Name Prefix
Miss
Credential
L.M.T.
Mailing Street Address
PO Box 2
Mailing City
Alexander
Mailing State
NY
Mailing ZIP Code
14005-0002
Mailing Country
US
Mailing Phone
(585) 356-7653
Practice Street Address
24 E Main St
Practice City
Corfu
Practice State
NY
Practice ZIP Code
14036
Practice Country
US
Practice Phone
(585) 356-7653
Enumeration Date
August 06, 2008
Last Updated
August 06, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)