Doctor Name: | MS. JACQUELINE POWERS |
NPI Number: | 1023247764 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT, RPP |
License Number: | 2661M |
Business Practice Address: | 12 Parmenter Rd Unit A-3 Londonderry, NH - 030533280 |
Business Phone Number: | 6038674767 |
Business Fax Number: | |
Mailing Address: | 41 High St, 2nd Floor DERRY |
State: | NH |
Postal Code: | 030382234 |
Phone Number: | 6038674767 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2009 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 2661M |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |