National Provider Identifier
Jennifer Parr Mutolo, M.P.H., L.AC.
Jennifer Parr Mutolo, M.P.H., L.AC. is listed in the NPPES registry with a primary specialty of Acupuncturist in Ithaca, NY and a listed phone number of (518) 496-7309.
Profile Overview
- NPI
- 1770729857
- Provider Type
- Individual
- Primary Specialty
- Acupuncturist
- Enumeration Date
- December 19, 2008
- Last Updated
- December 19, 2008
Practice Location
- 422 Taylor Pl
- Ithaca, NY 14850-3137
Phone: (518) 496-7309
Mailing Address
- 605 N Aurora St
- Ithaca, NY 14850-3712
Specialties
- Acupuncturist (171100000X)
Full Record
- NPI
- 1770729857
- Entity Type
- Individual
- Last Name
- Parr Mutolo
- First Name
- Jennifer
- Name Prefix
- Mrs.
- Credential
- M.P.H., L.AC.
- Provider Other Last Name
- Parr
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Lynn
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- M.P.H., L.AC.
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 605 N Aurora St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3712
- Mailing Country
- US
- Mailing Phone
- (518) 496-7309
- Practice Street Address
- 422 Taylor Pl
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3137
- Practice Country
- US
- Practice Phone
- (518) 496-7309
- Enumeration Date
- December 19, 2008
- Last Updated
- December 19, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Acupuncturist (171100000X)