Provider Demographics
NPI:1326863390
Name:JONES, KITTRINA (LMT)
Entity type:Individual
Prefix:
First Name:KITTRINA
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:RUMNEY
Mailing Address - State:NH
Mailing Address - Zip Code:03266-3265
Mailing Address - Country:US
Mailing Address - Phone:603-481-0563
Mailing Address - Fax:
Practice Address - Street 1:1 BURTON DR
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253-3200
Practice Address - Country:US
Practice Address - Phone:201-822-1238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3814M225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist