MS. JENNA RUSSELL DALLINGA LMT NPI 1053687715

NPI Information

MS. Jenna Russell Dallinga, LMT is a specialist in Danbury, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Jenna Russell Dallinga, LMT NPI is 1053687715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

40 LAKE AVENUE EXT
DANBURY, CT
ZIP 06811-283
Phone: (845) 612-9849

The enumeration date for this NPI number is 3/27/2012 and was last updated on 3/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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