NPI 1467097147 · live from the CMS NPI Registry
Jessica Dearstyne
Massage Therapist in Hagerstown, MD. National Provider Identifier 1467097147, active.
NPI record
| NPI | 1467097147 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 12814 Shank Farm Way Ste D, Hagerstown, MD 21742 |
| Practice phone | 540-435-7148 |
| Enumerated | November 17, 2019 |
| Last updated | November 17, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | RO2485 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.