Individual
MRS. JESSICA A DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
32 LAWRENCE AVE, SMITHTOWN, NY 11787-3605
(516) 509-3370
Mailing address
32 LAWRENCE AVE, SMITHTOWN, NY 11787-3605
(516) 509-3370
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
022512-01
NY
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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