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

Jitladda Bannon

Individual provider Massage Therapist · NPI 1164299657

Jitladda Bannon is a Massage Therapist in Farmingdale, 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

25 W Oak St
Farmingdale, NY 11735-3121
Phone: (516) 376-1503
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 033328 (NY)

Record details

NPI number1164299657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address25 W Oak St, Farmingdale, NY 11735-3121

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