Individual
MRS. JENNIFFER MARIE MACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001210
NY
225700000X
Massage Therapist
Primary
017425
NY
Other
Enumeration date
04/26/2007
Last updated
09/11/2025
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