MRS. JACQUELINE MARIE SANTULLI (NPI# 1104487420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104487420 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MARIE SANTULLI |
| Credential | LMT |
| Practice Address |
181 Blackberry Rd Liverpool NY 13090-3000 |
| Mailing Address |
183 Northridge Dr Central Square NY 13036-2628 |
| Practice Telephone | 3155753173 |
| Mailing Telephone | 3155753173 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 018339 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
181 BLACKBERRY RD |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442429 | Donna M Fellows | Massage Therapist | 704 Old Liverpool Rd, Liverpool, NY 13088-6035 | 2019-11-19 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1023505369 | Kelsey Leigh Matousek | Massage Therapist | 4225 Long Branch Rd, Liverpool, NY 13090-3217 | 2018-04-20 |
| 1952849861 | Cornelius Wells Christie IIi | Massage Therapist | 106 Metropolitan Park Dr, Liverpool, NY 13088-5779 | 2017-02-10 |
| 1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1730402488 | Craig Milewitz | Massage Therapist | 500 Old Liverpool Rd, Liverpool, NY 13088-6223 | 2010-03-09 |
| 1417167875 | Sylvia R Constable | Massage Therapist | 918 Old Liverpool Rd, Liverpool, NY 13088-5513 | 2007-05-23 |
| 1356804306 | Nichole Lynn Shue | Massage Therapist | 609 7th North St, Liverpool, NY 13088-6554 | 2019-04-08 |
| 1912383571 | Jeremy Anthony Totino | Massage Therapist | 7960 Oswego Rd, Liverpool, NY 13090-1950 | 2015-08-06 |
| Find all providers in LIVERPOOL | ||||
Please comment or provide details below to improve the information on MRS. JACQUELINE MARIE SANTULLI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.