National Provider Identifier
Jillian Marie Zaccarella, LMT, COSMOTOLOGIST
Jillian Marie Zaccarella, LMT, COSMOTOLOGIST is listed in the NPPES registry with a primary specialty of Massage Therapist in Lewiston, NY and a listed phone number of (716) 348-4743.
Profile Overview
- NPI
- 1548564933
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- December 29, 2010
- Last Updated
- December 29, 2010
Practice Location
- 105 S 4Th St
- Lewiston, NY 14092-1522
Phone: (716) 348-4743
Mailing Address
- 4946 Hillview Ct
- Lewiston, NY 14092-1810
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1548564933
- Entity Type
- Individual
- Last Name
- Zaccarella
- First Name
- Jillian
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- LMT, COSMOTOLOGIST
- Mailing Street Address
- 4946 Hillview Ct
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1810
- Mailing Country
- US
- Mailing Phone
- (716) 348-4743
- Practice Street Address
- 105 S 4Th St
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1522
- Practice Country
- US
- Practice Phone
- (716) 348-4743
- Enumeration Date
- December 29, 2010
- Last Updated
- December 29, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)