Individual
JESSICA SUZAN POLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3682 68TH ST, SUITE 9, URBANDALE, IA 50322-3401
(515) 371-9678
Mailing address
4145 4TH ST, DES MOINES, IA 50313-3525
(515) 371-9678
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006341
IA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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