Jenna Michal Defazio in Juno Beach - Massage Therapist
Jenna Michal Defazio - NPI 1376762559
Jenna Michal Defazio is a Massage Therapist in Juno Beach, Florida. Jenna Michal Defazio practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jenna Michal Defazio is 1376762559. The last update date is 2007-07-08.
Jenna Michal Defazio's current location address is 570 Ocean Dr, Juno Beach, Florida. You can contact this provider via phone number 9544912225 and fax number 9544916862. The mailing address for Jenna Michal Defazio is 570 Ocean Dr, Juno Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenna Michal Defazio |
|---|---|
| Address | 570 Ocean Dr, Juno Beach, Florida |
| Phone Number | 9544912225 |
| Fax Number | 9544916862 |
| Sole Proprietor | N |
| Credentials | LMT LICENS |
NPI Number Detail
| NPI Number | 1376762559 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 570 Ocean Dr |
|---|---|
| City | Juno Beach |
| State | Florida (FL) |
| Post Code | 33408 |
| Phone Number | 9544912225 |
| Fax Number | 9544916862 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 48182 | FL | MA # |
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What is the Jenna Michal Defazio's unique identification number?
The Jenna Michal Defazio has been assigned the NPI (National Provider Identifier) Number 1376762559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jenna Michal Defazio located?
The Jenna Michal Defazio is located at 570 Ocean Dr, Juno Beach, FL 33408.
What is the Jenna Michal Defazio's specialty and taxonomy code?
The Jenna Michal Defazio's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
On what date did the Jenna Michal Defazio receive its 1376762559 assignment from the Centers for Medicare & Medicaid Services?
The Jenna Michal Defazio was assigned its 1376762559 by the Centers for Medicare & Medicaid Services on 2007-04-25.
As of what date was the information pertaining to Jenna Michal Defazio, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jenna Michal Defazio, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1467458307
Address: 324 Datura St, West Palm Beach, FL