Jennifer L Byrd, LMT
Individual provider Active NPI Massage Therapist · Ooltewah, TN
NPI 1669611166 · NPPES record last updated Jan 28, 2025
Key facts
- NPI
- 1669611166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0000003474 (TN)
- Practice address
- 5906 Main St
Suite 132
Ooltewah, TN 37363-9296 - Phone
- (423) 238-5775
- Fax
- (423) 238-5774
- NPI assigned
- Feb 7, 2009
- Reactivated
- Jan 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0000003474 | TN | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nest Chattanooga, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0000003474 | TN | Yes |
Addresses
Primary practice location
5906 Main St
Suite 132
Ooltewah, TN 37363-9296
Mailing address
5906 Main St
Suite 132
Ooltewah, TN 37363-9296
Phone (423) 238-5775
Other providers in Ooltewah, TN
- Caren E Brumfield
- Hannah Marie Bujak
- Oliver Marko Bujak
- Jessica Burnstein
- T L Burton
- C. Ann Mashchak, M.D.
- April Lynn Cagle
- Callie L Doyle DMD PLLC
- Camellia Home Health of Southeast Tennessee, LLC
- Jacqueline Marie Campbell
All providers in Ooltewah, TN · Massage Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2025. 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.