Jessica Gillmer, LMT

Individual provider Active NPI Massage Therapist · Hatfield, PA

NPI 1164178786 · NPPES record last updated Feb 22, 2022

Key facts

NPI
1164178786
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MSG010931 (PA)
Practice address
2058 Maple Ave Apt R2-7
Hatfield, PA 19440-1514
Phone
(215) 317-2771
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MSG010931PAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG010931 PA Yes

Addresses

Primary practice location

2058 Maple Ave Apt R2-7
Hatfield, PA 19440-1514

Mailing address

2058 Maple Ave Apt R2-7
Hatfield, PA 19440-1514
Phone (215) 317-2771

Other providers in Hatfield, PA

All providers in Hatfield, PA · Massage Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.