National Provider Identifier

Jenelle Smith

Jenelle Smith is listed in the NPPES registry with a primary specialty of Massage Therapist in Rochester, NY and a listed phone number of (585) 802-1280.

NPI 1760647341Rochester, NYMassage Therapist

Profile Overview

NPI
1760647341
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
July 23, 2008
Last Updated
June 17, 2022

Practice Location

  • 31 Irvington RD
  • Rochester, NY 14620-4111

Phone: (585) 802-1280

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1760647341
Entity Type
Individual
Last Name
Smith
First Name
Jenelle
Mailing Street Address
31 Irvington RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4111
Mailing Country
US
Practice Street Address
31 Irvington RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4111
Practice Country
US
Practice Phone
(585) 802-1280
Enumeration Date
July 23, 2008
Last Updated
June 17, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
June 17, 2022
Taxonomies
Massage Therapist (225700000X)