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

Jaclyn Lagravinese, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1649925637

Jaclyn Lagravinese, MASSAGETHERAPIST is a Massage Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2022.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

16025 S 50th St Apt 1017
Phoenix, AZ 85048-5002
Phone: (480) 510-5352
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 17459 (AZ)

Record details

NPI number1649925637
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorNo
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 17, 2022

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