Jennifer Bourne, LMT
Individual provider Active NPI Massage Therapist · Jamestown, ND
NPI 1962099879 · NPPES record last updated Dec 26, 2020
Key facts
- NPI
- 1962099879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 833 (ND)
- Practice address
- 242 18TH Ave NE
Jamestown, ND 58401-3845 - Phone
- (701) 269-1975
- NPI assigned
- Dec 26, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 833 | ND | Yes |
Addresses
Primary practice location
242 18TH Ave NE
Jamestown, ND 58401-3845
Mailing address
242 18TH Ave NE
Jamestown, ND 58401-3845
Phone (701) 269-1975
Other names
- Jennifer Wimer
Other providers in Jamestown, ND
- Laura Ann Bond
- Taryn Nicole Boom
- Kira Bossert
- Terri L Bostan
- Michael J Boulter
- Kathryn Bradley
- Renee Brady
- Jason J Braun
- Breck Leach DMD, PLLC
- Makenzie Julia Breitbach
All providers in Jamestown, ND · Massage Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2020. 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.