Individual
JENNIFER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5 MORGAN HWY STE 4, SCRANTON, PA 18508-2641
(570) 344-3788
Mailing address
5 MORGAN HWY STE 4, SCRANTON, PA 18508-2641
(570) 344-3788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG013141
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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