Charlynn Sebastian, LMT
Individual provider Active NPI Massage Therapist · Brunswick, OH
NPI 1073757209 · NPPES record last updated May 26, 2009
Key facts
- NPI
- 1073757209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 33.017735 (OH)
- Practice address
- 4218 Center Road
Brunswick Chiropractic
Brunswick, OH 44212 - Phone
- (330) 273-2166
- Fax
- (330) 273-7236
- NPI assigned
- May 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33.017735 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brunswick Chiropractic Clinic Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.017735 | OH | Yes |
Addresses
Primary practice location
4218 Center Road
Brunswick Chiropractic
Brunswick, OH 44212
Mailing address
4218 Center Road
Brunswick Chiropractic
Brunswick, OH 44212
Phone (330) 273-2166
Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.