Krista Dicecco
Individual provider Active NPI Massage Therapist · Atlantic Highlands, NJ
NPI 1245874536 · NPPES record last updated Oct 30, 2019
Key facts
- NPI
- 1245874536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 18KT00769100 (NJ)
- Practice address
- 2373 Highway 36
Atlantic Highlands, NJ 07716-2560 - Phone
- (732) 872-6595
- NPI assigned
- Oct 30, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18KT00769100 | NJ | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 18KT00769100 | NJ | Yes |
Addresses
Primary practice location
2373 Highway 36
Atlantic Highlands, NJ 07716-2560
Mailing address
2373 Highway 36
Atlantic Highlands, NJ 07716-2560
Phone (732) 872-6595
Other providers in Atlantic Highlands, NJ
- Stacy R Curro
- Lisa Curtis
- Data Group Central
- Anthony Philip Denoia
- Daniele Deoliveira
- Barbara Dinapoli-Pagella
- Domanski ABA Services
- Kathleen Anne Doyle
- Scott C Eagelton
- Eastpointe Integrated Healthcare LLC
All providers in Atlantic Highlands, NJ · Massage Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.