NPI 1235780768 · live from the CMS NPI Registry
Jana Benicka, MS, LMT, CMMP
Massage Therapist in Rockville, MD. National Provider Identifier 1235780768, active.
NPI record
| NPI | 1235780768 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 15717 Crabbs Branch Way # 227, Rockville, MD 20855 |
| Practice phone | 205-336-1115 |
| Mailing address | 6 Great Pines Ct, Rockville, MD 20850 |
| Enumerated | September 25, 2019 |
| Last updated | September 25, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MO5655 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.