Individual
KATHY D LETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT-NJ, BCTMB
Contact information
Practice address
601A OMNI DR, HILLSBOROUGH, NJ 08844-4538
(908) 359-5777
Mailing address
601A OMNI DR, HILLSBOROUGH, NJ 08844-4538
(908) 359-5777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00069500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT00069500
MASSAGE LICENSE ISSUED BY NJ BOARD OF MASSAGE AND BODYWORK THERAPY
NJ
01
—
2000510
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
—
Enumeration date
04/07/2022
Last updated
04/07/2022
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