Provider Demographics
NPI:1528837499
Name:HUOPPI, JENNYLEE (LMT)
Entity type:Individual
Prefix:MS
First Name:JENNYLEE
Middle Name:
Last Name:HUOPPI
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 1:39 ELM ST STE 2
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-2745
Mailing Address - Country:US
Mailing Address - Phone:603-422-3272
Mailing Address - Fax:
Practice Address - Street 1:908 HANOVER ST STE 3
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-5418
Practice Address - Country:US
Practice Address - Phone:603-422-3272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8484225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist