JESSICA AINSWORTH BLACK LMT
NPI 1447014139
Massage Therapist in Carbondale, IL
- Individual
- Female
- Massage Therapist
About JESSICA BLACK
This page provides the complete NPI Profile along with additional information for Jessica Black, a provider established in Carbondale, Illinois with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1447014139 assigned on February 2024. The practitioner's primary taxonomy code is 225700000X with license number 227.013773 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1447014139 Verify this NPI
- Provider Name
- JESSICA AINSWORTH BLACK LMT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2031 S ILLINOIS AVE CARBONDALE, IL 62903
- Location Phone
- (618) 457-7732
- Mailing Address
- 53 LAKESIDE DR MAKANDA, IL 62958
- Mailing Phone
- (217) 972-8259
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-12-2024
- Last Update Date
- 02-12-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 227.013773
- License State
- IL
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447014139, enumerated as an "individual" on February 12, 2024.
The provider is located at 2031 S ILLINOIS AVE CARBONDALE, IL 62903 and the phone number is (618) 457-7732.
Massage Therapist with taxonomy code 225700000X.
