MS. Jillene Virginia Decarlo, LMT
NPI #1740059559 in Maynardville, Tennessee
Provider Information
- NPI Number
- 1740059559
- Entity Type
- Individual
- Name
- MS. Jillene Virginia Decarlo, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Dec 21, 2023
- Last Updated
- Dec 21, 2023
Practice Location
- Address
- 110 SKYLINE DR STE B
- City
- Maynardville
- State
- Tennessee
- ZIP Code
- 37807-3063
- Phone
- (865) 992-6933
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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