NPI 1578201745 · live from the CMS NPI Registry
Stephen Jacoby
Massage Therapist in Mission, KS. National Provider Identifier 1578201745, active.
NPI record
| NPI | 1578201745 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 5400 Russell St, Mission, KS 66202 |
| Practice phone | 303-525-7658 |
| Enumerated | May 26, 2022 |
| Last updated | May 26, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2022013157 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.