Provider Demographics
NPI:1518322742
Name:CHIAPPARELLI, JENNY L (LMT, BCTMB)
Entity Type:Individual
Prefix:MS
First Name:JENNY
Middle Name:L
Last Name:CHIAPPARELLI
Suffix:
Gender:F
Credentials:LMT, BCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BROAD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-1532
Mailing Address - Country:US
Mailing Address - Phone:570-205-9940
Mailing Address - Fax:
Practice Address - Street 1:501 BROAD ST STE 1
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1532
Practice Address - Country:US
Practice Address - Phone:570-205-9940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-14
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG002925225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist