MS. JACLYN MARIE NICODEMO LMT
NPI 1972248128
Chiropractor in King Of Prussia, PA

Active since May 02, 2022
970 PULASKI DR, KING OF PRUSSIA, PA 19406(610) 640-9355 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jaclyn Marie Nicodemo Lmt NPPES

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

MS. JACLYN MARIE NICODEMO LMT (NPI 1972248128) is an individual chiropractor in King Of Prussia, Pennsylvania, licensed in Pennsylvania (DC009420) and active in the NPI registry since May 2022. She maintains a secondary practice location in King Of Prussia.

NPPES Registry Identity

NPI1972248128
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMS. JACLYN MARIE NICODEMOCredential: LMT
Location Address970 PULASKI DRKing Of Prussia, PA 19406-2802
Mailing Address343 Ross RdKing Of Prussia, PA 19406-2108
Sole ProprietorYes
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
NPI 1972248128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in PA · DC009420
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
970 PULASKI DR, King Of Prussia, PA 19406

Other Names 1

Former Name (1)Jaclyn Marie Nicodemo Jaclyn Tassoni

Secondary Practice Location 1

Location 1108 E Beidler RdKing Of Prussia, PA 19406-1929 · Phone (610) 265-7323

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor (Rehabilitation)
970 PULASKI DR
KING OF PRUSSIA, PA 19406
Massage Therapist
970 PULASKI DR
KING OF PRUSSIA, PA 19406
Chiropractor
970 PULASKI DR
KING OF PRUSSIA, PA 19406
Massage Therapist
970 PULASKI DR
KING OF PRUSSIA, PA 19406
Massage Therapist
970 PULASKI DR
KING OF PRUSSIA, PA 19406
Massage Therapist
970 PULASKI DR
KING OF PRUSSIA, PA 19406
Massage Therapist
970 PULASKI DR
KING OF PRUSSIA, PA 19406

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 Jaclyn Nicodemo's NPI number?

The NPI number for Jaclyn Nicodemo is 1972248128. It was assigned to this individual provider in the NPPES registry on May 2, 2022. The provider is also known as Jaclyn Marie Nicodemo Jaclyn Tassoni.

Where is Jaclyn Nicodemo located?

Jaclyn Nicodemo practices at 970 Pulaski Dr, King Of Prussia, PA 19406. The listed phone number is (610) 640-9355.

What is Jaclyn Nicodemo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jaclyn Nicodemo was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.