Provider Demographics
NPI:1033440599
Name:FLAMMIA, JENNY (LMT, CRTT)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:FLAMMIA
Suffix:
Gender:F
Credentials:LMT, CRTT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-4690
Mailing Address - Country:US
Mailing Address - Phone:978-874-6200
Mailing Address - Fax:
Practice Address - Street 1:80 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MA
Practice Address - Zip Code:01564-1466
Practice Address - Country:US
Practice Address - Phone:978-467-7230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-23
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4150225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist