NPI 1376322560 · live from the CMS NPI Registry
Ayanna Jake, MT
Massage Therapist in Jackson, MS. National Provider Identifier 1376322560, active.
NPI record
| NPI | 1376322560 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2084 Dunbarton Dr Ste H, Jackson, MS 39216 |
| Practice phone | 769-226-1925 |
| Enumerated | September 26, 2023 |
| Last updated | September 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.