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JESSICA AINSWORTH BLACK LMT
NPI 1447014139
Massage Therapist in Carbondale, IL

Active since February 12, 2024
2031 S ILLINOIS AVE, CARBONDALE, IL 62903(618) 457-7732 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jessica Ainsworth Black Lmt NPPES

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

JESSICA AINSWORTH BLACK LMT (NPI 1447014139) is an individual massage therapist in Carbondale, Illinois, licensed in Illinois (227.013773) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1447014139
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA AINSWORTH BLACKCredential: LMT
Location Address2031 S ILLINOIS AVECarbondale, IL 62903-5909
Mailing Address53 Lakeside DrMakanda, IL 62958-2639 · (217) 972-8259
Phone(618) 457-7732
Sole ProprietorNo
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1447014139 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 IL · 227.013773
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.
2031 S ILLINOIS AVE, Carbondale, IL 62903
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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 Jessica Black's NPI number?

The NPI number for Jessica Black is 1447014139. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Jessica Black located?

Jessica Black practices at 2031 S Illinois Ave, Carbondale, IL 62903. The listed phone number is (618) 457-7732.

What is Jessica Black'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 Jessica Black was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.