Jazmine Anderson, LMT

Individual provider Active NPI Massage Therapist · Columbus, GA

NPI 1740057322 · NPPES record last updated Dec 8, 2023

Key facts

NPI
1740057322
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT008588 (GA)
Practice address
719 3Rd Ave
Columbus, GA 31901-2956
Phone
(706) 221-0022
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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

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
MT008588GAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Spa and Suites Current
since Dec 10, 2023
Accepting new patients

Locations

719 3rd Ave
Columbus, GA 31901
Phone (706) 221-0022

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225700000X MT008588 GA Yes

Addresses

Primary practice location

719 3Rd Ave
Columbus, GA 31901-2956

Mailing address

719 3Rd Ave
Columbus, GA 31901-2956
Phone (706) 221-0022

Other providers in Columbus, GA

All providers in Columbus, GA · Massage Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.