Jennifer Allen, LMT
Individual provider Active NPI Massage Therapist · Phoenix, AZ
NPI 1194737577 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194737577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT-01379P (AZ)
- Practice address
- 4018 N 40TH St
Phoenix, AZ 85018-5205 - Phone
- (602) 955-0551
- Fax
- (602) 956-8269
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| MT-01379P | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.R.E. Clinic, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-01379P | AZ | Yes |
Addresses
Primary practice location
4018 N 40TH St
Phoenix, AZ 85018-5205
Mailing address
4018 N 40TH St
Phoenix, AZ 85018-5205
Phone (602) 955-0551
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.