Jennifer Alexander, LMT

Individual provider Active NPI Massage Therapist · Lees Summit, MO

NPI 1548067911 · NPPES record last updated Feb 25, 2025

Key facts

NPI
1548067911
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
2023032365 (MO)
Practice address
4963 NE Goodview Cir Ste a
Lees Summit, MO 64064-2491
Phone
(816) 812-3827
NPI assigned
Feb 25, 2025
Sex
Female
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

LicenseStateTypeSpecialty
2023032365MOMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 2023032365 MO Yes

Addresses

Primary practice location

4963 NE Goodview Cir Ste a
Lees Summit, MO 64064-2491

Mailing address

4963 NE Goodview Cir Ste a
Lees Summit, MO 64064-2491

Other providers in Lees Summit, MO

All providers in Lees Summit, MO · Massage Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.