NPI 1104750983

Jacqueline Nicole Ellis, LMT

Practitioner Massage Therapist Fredericksburg, VA

Practice location

Address: 242 Butler Rd STE 101, Fredericksburg, VA 22405-2441
Phone: (540) 321-5788

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019020933 (VA)

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Registry record

NPI: 1104750983
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2026
Record last updated: 9 Jun 2026

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.