National Provider Identifier

Jennifer L McConnell, LMT

Jennifer L McConnell, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Victor, NY and a listed phone number of (607) 794-7088.

NPI 1912633819Victor, NYMassage Therapist

Profile Overview

NPI
1912633819
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
July 25, 2022
Last Updated
July 25, 2022

Practice Location

  • 6385 State Route 96 Ste 210
  • Victor, NY 14564-1404

Phone: (607) 794-7088

Mailing Address

  • 7291 Williams RD
  • Prattsburgh, NY 14873-9523

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1912633819
Entity Type
Individual
Last Name
McConnell
First Name
Jennifer
Middle Name
L
Credential
LMT
Mailing Street Address
7291 Williams RD
Mailing City
Prattsburgh
Mailing State
NY
Mailing ZIP Code
14873-9523
Mailing Country
US
Mailing Phone
(607) 794-7088
Practice Street Address
6385 State Route 96 Ste 210
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-1404
Practice Country
US
Practice Phone
(607) 794-7088
Enumeration Date
July 25, 2022
Last Updated
July 25, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
July 25, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)