Defazio, Jenna Michal
Defazio, Jenna Michal is an individual health care provider with primary practice located at 570 Ocean Dr Holistic Massage And Wellness Clinics #501, Juno Beach FL 33408. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Defazio, Jenna Michal can be contacted via phone (954) 491-2225.Contact Information
Primary practice address
570 Ocean Dr Holistic Massage And Wellness Clinics #501
Juno Beach FL 33408
Phone: (954) 491-2225
Fax: (954) 491-6862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X |
Profile Details
| NPI number | 1376762559 |
|---|---|
| LBN Legal business name | Defazio, Jenna Michal |
| Credentials | LMT LICENSED MASSAGE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376762559 | NPPES |
| Florida | Other | 48182 | MA # |
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