Jessica Anne Lancaste, LMT

NPI #1508244823 in Sycamore, Illinois

Provider Information

NPI Number: 1508244823
Entity Type: Individual
Name: Jessica Anne Lancaste, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 7, 2015
Last Updated: May 7, 2015

Practice Location

Address: 130 FAIR ST
City: Sycamore
State: Illinois
ZIP Code: 60178-1640
Phone: (815) 895-2059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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