Jacquelyn Lewis, LMT, NCTMB, CCA

NPI #1558692681 in Fairfax, Vermont

Provider Information

NPI Number
1558692681
Entity Type
Individual
Name
Jacquelyn Lewis, LMT, NCTMB, CCA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
LMT, NCTMB, CCA
Enumeration Date
Jan 29, 2010
Last Updated
Jan 29, 2010

Practice Location

Address
1193 ETHAN ALLEN HWY
State
Vermont
ZIP Code
05454-5433
Phone
(802) 999-9985

Specialties & Taxonomy Codes

Specialty
Specialist

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