NPI 1093157299

Jessica Suzan Polito, LMT

Practitioner Massage Therapist Urbandale, IA

Practice location

Address: 3682 68th St Suite 9, Urbandale, IA 50322-3401
Phone: (515) 371-9678
Mailing address: 4145 4th St, Des Moines, IA 50313-3525

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 006341 (IA)

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Registry record

NPI: 1093157299
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2013
Record last updated: 29 Jul 2013

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.