MISS Jasmine Whitney Kennerly, LMT

NPI #1740929470 in Glen Cove, New York

Provider Information

NPI Number: 1740929470
Entity Type: Individual
Name: MISS Jasmine Whitney Kennerly, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 1, 2022
Last Updated: Jun 1, 2022

Practice Location

Address: 100 VILLAGE SQ APT 217
City: Glen Cove
State: New York
ZIP Code: 11542-2598
Phone: (631) 624-4893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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