Jessica Suzan Polito, LMT

NPI #1093157299 in Urbandale, Iowa

Provider Information

NPI Number: 1093157299
Entity Type: Individual
Name: Jessica Suzan Polito, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 29, 2013
Last Updated: Jul 29, 2013

Practice Location

Address: 3682 68TH ST
Address 2: SUITE 9
City: Urbandale
State: Iowa
ZIP Code: 50322-3401
Phone: (515) 371-9678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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