James Maxwell
Individual provider Active NPI Massage Therapist · Lansing, WV
NPI 1124346358 · NPPES record last updated Feb 8, 2012
Key facts
- NPI
- 1124346358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2000-0461 (WV)
- Practice address
- 1 Ames Heights Road
Lansing, WV 25862 - Phone
- (304) 573-1195
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2000-0461 | WV | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2000-0461 | WV | Yes |
Addresses
Primary practice location
1 Ames Heights Road
Lansing, WV 25862
Mailing address
811 Stonehouse Rd
Rainelle, WV 25962-6593
Phone (304) 573-1195
Other providers in Lansing, WV
All providers in Lansing, WV · Massage Therapist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2012. 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.