JACOB BENJAMIN GONZALEZ L.M.T.
NPI 1417247172
Massage Therapist in Lake Havasu City, AZ

Q: What is Jacob Gonzalez's NPI number?

The NPI number for Jacob Gonzalez is 1417247172. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Q: What is Jacob Gonzalez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Gonzalez was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since April 15, 2011

133 SAGUARO DR, LAKE HAVASU CITY, AZ 86403(928) 846-7845 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jacob Benjamin Gonzalez L.m.t. NPPES

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

JACOB BENJAMIN GONZALEZ L.M.T. (NPI 1417247172) is an individual massage therapist in Lake Havasu City, Arizona, licensed in Arizona (MT-13311) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1417247172

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameJACOB BENJAMIN GONZALEZCredential: L.M.T.

Location Address133 SAGUARO DRLake Havasu City, AZ 86403-6657

Mailing Address133 Saguaro DrLake Havasu City, AZ 86403-6657

Phone(928) 846-7845

Sole ProprietorYes

Enumeration DateApril 15, 2011

✔ NPI 1417247172 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 AZ · MT-13311

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.

133 SAGUARO DR, Lake Havasu City, AZ 86403

Open in Google Maps ↗

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 Jacob Gonzalez's NPI number?

The NPI number for Jacob Gonzalez is 1417247172. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Jacob Gonzalez located?

Jacob Gonzalez practices at 133 Saguaro Dr, Lake Havasu City, AZ 86403. The listed phone number is (928) 846-7845.

What is Jacob Gonzalez'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 Jacob Gonzalez was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.