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

Jessica Licata, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1619673787

Jessica Licata, MASSAGETHERAPIST is a Massage Therapist in Middle Island, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

1225 Middle Country Rd
Middle Island, NY 11953-2515
Phone: (631) 637-6000
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 010928 (NY)

Record details

NPI number1619673787
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorNo
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

Other providers in Middle Island