NPI 1073073961

Jenelle Marie Riker, LMT

Practitioner Massage Therapist Ithaca, NY

Practice location

Address: 821 Cliff St, Ithaca, NY 14850-2097
Phone: (607) 591-1563
Mailing address: PO Box 544, Marathon, NY 13803-0544

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 022794 (NY)

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Registry record

NPI: 1073073961
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2019
Record last updated: 25 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.