Individual provider · NPI-1
Jennifer Commerford, LMT
Massage Therapist · Albany, NY
NPI number1356643100
StatusActive
Last updated in NPPESMay 2, 2013
Details
- NPI
- 1356643100
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Commerford
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2010
- Last updated
- May 2, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 018570-1 | NY | Yes |
Practice location
1726 Western AveAlbany, NY 12203-4413
Phone 518-621-7984
Mailing address
26 Sussex WaySchenectady, NY 12309-2918
Phone 518-376-6173
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