NPI 1164193926

Bethany Vivo-Pelliccia

Practitioner Massage Therapist Montclair, NJ

Practice location

Address: 11 Pine St APT 214, Montclair, NJ 07042-4373
Phone: (973) 988-3755

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 012059 (NY)

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Registry record

NPI: 1164193926
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2021
Record last updated: 22 Sep 2021

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.