National Provider Identifier
Samuel Jett, LMT
Samuel Jett, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Ithaca, NY and a listed phone number of (607) 288-2785.
Profile Overview
- NPI
- 1811607773
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- December 01, 2022
- Last Updated
- December 01, 2022
Practice Location
- 253A Iradell RD
- Ithaca, NY 14850-9207
Phone: (607) 288-2785
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1811607773
- Entity Type
- Individual
- Last Name
- Jett
- First Name
- Samuel
- Credential
- LMT
- Mailing Street Address
- 253A Iradell RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9207
- Mailing Country
- US
- Mailing Phone
- (607) 288-2785
- Practice Street Address
- 253A Iradell RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9207
- Practice Country
- US
- Practice Phone
- (607) 288-2785
- Enumeration Date
- December 01, 2022
- Last Updated
- December 01, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 30, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)
- Other Identifiers
- 025984 (NY, Nys Massage Therapy License Number)