Ben Thomas Magistro, LMT
Individual provider Active NPI Massage Therapist · Mantua, OH
NPI 1649604240 · NPPES record last updated Aug 30, 2013
Key facts
- NPI
- 1649604240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 33.019773 (OH)
- Practice address
- 2569 Frost Rd
Mantua, OH 44255-9132 - Phone
- (216) 548-7752
- NPI assigned
- Aug 30, 2013
- 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 |
|---|---|---|---|
| 33.019773 | OH | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.019773 | OH | Yes |
Addresses
Primary practice location
2569 Frost Rd
Mantua, OH 44255-9132
Mailing address
2569 Frost Rd
Mantua, OH 44255-9132
Phone (216) 548-7752
Other providers in Mantua, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2013. 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.