NPI 1508575572 · live from the CMS NPI Registry
Jessica Marie Cloughly, LMT
Massage Therapist in Mission, KS. National Provider Identifier 1508575572, active.
NPI record
| NPI | 1508575572 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 6556 Johnson Dr, Mission, KS 66202 |
| Practice phone | 913-432-4780 |
| Mailing address | 1818 Ne Vivion Rd, Kansas City, MO 64118 |
| Enumerated | November 18, 2022 |
| Last updated | November 18, 2022 |
| Sole proprietor | Yes |
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.