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

MS. Jacqueline Dedomenico, LMT

Individual provider Massage Therapist · NPI 1043817018

MS. Jacqueline Dedomenico, LMT is a Massage Therapist in Massapequa, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

72 Parkhill Ave
Massapequa, NY 11758-4553
Phone: (516) 840-2383
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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 015300-1 (NY)

Record details

NPI number1043817018
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedOctober 2, 2020
Last updated in NPPESOctober 2, 2020
Certification dateOctober 2, 2020

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