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

Individual provider Chiropractor · NPI 1972248128

MS. Jaclyn Marie Nicodemo, LMT is a Chiropractor in King of Prussia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

970 Pulaski Dr
King of Prussia, PA 19406-2802
Phone: (610) 640-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 108 E Beidler Rd, King Of Prussia, PA 19406-1929 — (610) 265-7323

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC009420 (PA)

Record details

NPI number1972248128
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 2, 2022
Last updated in NPPESMay 2, 2022
Certification dateMay 2, 2022

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