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JITLADDA BANNON
NPI 1164299657
Massage Therapist in Farmingdale, NY

Active since December 05, 2023
25 W OAK ST, FARMINGDALE, NY 11735(516) 376-1503 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jitladda Bannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JITLADDA BANNON (NPI 1164299657) is an individual massage therapist in Farmingdale, New York, licensed in New York (033328) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1164299657
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJITLADDA BANNON
Location Address25 W OAK STFarmingdale, NY 11735-3121
Mailing Address25 W Oak StFarmingdale, NY 11735-3121
Phone(516) 376-1503
Sole ProprietorNo
Enumeration DateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1164299657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 033328
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
25 W OAK ST, Farmingdale, NY 11735
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jitladda Bannon's NPI number?

The NPI number for Jitladda Bannon is 1164299657. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Jitladda Bannon located?

Jitladda Bannon practices at 25 W Oak St, Farmingdale, NY 11735. The listed phone number is (516) 376-1503.

What is Jitladda Bannon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jitladda Bannon was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.