Deidre Jenkins, LMT
Individual provider Active NPI Massage Therapist · Dover, NH
NPI 1740910686 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1740910686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 917 (NH)
- Practice address
- 660 Central Ave FRNT Left
Dover, NH 03820-3491 - Phone
- (603) 565-0362
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 917 | NH | MD | Massage Therapist |
| 917M | NH | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 917M | NH | |
| Massage Therapist | 225700000X | 917 | NH | Yes |
Addresses
Primary practice location
660 Central Ave FRNT Left
Dover, NH 03820-3491
Mailing address
660 Central Ave FRNT Left
Dover, NH 03820-3491
Other providers in Dover, NH
- Robert Augustus Jarrett
- JD Howard Dental, LLC
- Denise A. Jeffery
- Sarah Jeffrey
- Jemb, PLLC
- Jennifer a McConathy DDS
- Jennifer J Nelson Arnp Family Health Care, LLC
- Jennifer M Casey MD PLLC
- Jennifer M. Casey, MD, PLLC
- Amy Jennings
All providers in Dover, NH · Massage Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. 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.