Individual
JERIEL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
327 FRANKLIN AVE, WYCKOFF, NJ 07481
(201) 425-8338
Mailing address
PO BOX 173, POMPTON LAKES, NJ 07442-0173
(973) 405-4116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00966600
NJ
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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