Jessica Lemon
Individual provider Active NPI Massage Therapist · Arbutus, MD
NPI 1902537293 · NPPES record last updated Jun 18, 2022
Key facts
- NPI
- 1902537293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- R02381 (MD)
- Practice address
- 5300 East Dr
Arbutus, MD 21227-2669 - Phone
- (443) 492-9861
- NPI assigned
- Jun 18, 2022
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R02381 | MD | MD | Massage Therapist |
| 12251 | NC | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 12251 | NC | |
| Massage Therapist | 225700000X | R02381 | MD | Yes |
Addresses
Primary practice location
5300 East Dr
Arbutus, MD 21227-2669
Mailing address
12 Walden Pine CT
Baltimore, MD 21207-3969
Phone (919) 696-3861
Other providers in Arbutus, MD
- Gilgal Group PA
- Mehtab Muntasir Hassan
- Kyung E Kim
- Michael Paul Knarr
- Helen Tinuke Kumolalo
- Tara Lenczyki
- Tammy Louise Lutz
- Mavis Prempeh Mbi
- Colby Jason Millen
- Duyen Nguyen
All providers in Arbutus, MD · Massage Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 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.