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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JEREMY PORTER
NPI 1104730860
Massage Therapist in Mishawaka, IN

Active since September 30, 2026
229 RED COACH DR STE 107, MISHAWAKA, IN 46545(574) 318-7800 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jeremy Porter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY PORTER (NPI 1104730860) is an individual massage therapist in Mishawaka, Indiana, licensed in Indiana (MT22608995) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104730860
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJEREMY PORTER
Location Address229 RED COACH DR STE 107Mishawaka, IN 46545-3195
Mailing Address21649 Maple Glen DrEdwardsburg, MI 49112-9718 · (303) 587-4893
Phone(574) 318-7800
Sole ProprietorYes
Enumeration DateSeptember 30, 2026
NPPES CertifiedSeptember 30, 2026
✔ NPI 1104730860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IN · MT22608995
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
229 RED COACH DR STE 107, Mishawaka, IN 46545
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LYNN BEHNKE
Massage Therapist
229 RED COACH DR STE 107
MISHAWAKA, IN 46545
St. Joseph County (574) 318-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Porter's NPI number?

The NPI number for Jeremy Porter is 1104730860. It was assigned to this individual provider in the NPPES registry on September 30, 2026.

Where is Jeremy Porter located?

Jeremy Porter practices at 229 Red Coach Dr Ste 107, Mishawaka, IN 46545. The listed phone number is (574) 318-7800.

What is Jeremy Porter's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jeremy Porter was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.