Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bethany Vivo-Pelliccia

Individual provider Massage Therapist · NPI 1164193926

Bethany Vivo-Pelliccia is a Massage Therapist in Montclair, New Jersey. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

11 Pine St Apt 214
Montclair, NJ 07042-4373
Phone: (973) 988-3755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 012059 (NY)

Record details

NPI number1164193926
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2021
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

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