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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376762559 NPPES
Florida Other 48182 MA #

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