Jessica McMahan, LMT
Individual provider Active NPI Massage Therapist · Piedmont, MO
NPI 1144043779 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1144043779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2024002958 (MO)
- Practice address
- 302 Legion Park Rd
Piedmont, MO 63957-9426 - Phone
- (573) 561-6190
- NPI assigned
- Nov 4, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2024002958 | MO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2024002958 | MO | Yes |
Addresses
Primary practice location
302 Legion Park Rd
Piedmont, MO 63957-9426
Mailing address
302 Legion Park Rd
Piedmont, MO 63957-9426
Phone (573) 561-6190
Other providers in Piedmont, MO
- Sierra Mays
- Tina R McCorkell
- Helen Margaret McDonald
- Martha McDonald
- Alisha McFadden
- Hannah Medler
- Jamie Lynn Melton
- Lindsay K Middleton
- Carla Kay Miller
- Morgan Mills
All providers in Piedmont, MO · Massage Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. 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.