Mackenzie Stenstrom, LMBP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19857 Issued in NC

Practice address

411 Western Blvd Ste B
Jacksonville, NC 28546-6822

Phone

(910) 581-2900

NPI assigned

Oct 28, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Massage and Wellness

  • Massage Therapist
  • Jacksonville, NC
  • NPI 1851054118
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1275297913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PARSLEY DR",
            "city": "HUBERT",
            "state": "NC",
            "postal_code": "285394223",
            "telephone_number": "218-310-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WESTERN BLVD STE B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466822",
            "telephone_number": "910-581-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSTROM",
        "first_name": "MACKENZIE",
        "credential": "LMBP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "19857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Stawicki
• Carl Alan Steed, PHD
• Joseph C Steigerwald, LMBT #14951
• David Michael Stella, O.D.
• Suzanne Stelmach, M.D.
• Stephen C Futrell DDS PA
• Anthony Stephens
• Judy Beacham Stephenson, PHD
• Stevens Healthcare Agency, Inc. (Sky Rizer's Family Center)
• Stevens Healthcare Agency, Inc.

• Massage Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.