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JESSICA MARTIN MT
NPI 1629407580
Massage Therapist in Lake Orion, MI

Active since November 01, 2013
24 W SHADBOLT ST, LAKE ORION, MI 48362(248) 287-2072 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Martin Mt NPPES

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

JESSICA MARTIN MT (NPI 1629407580) is an individual massage therapist in Lake Orion, Michigan, licensed in Michigan (578640-09) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1629407580
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA MARTINCredential: MT
Location Address24 W SHADBOLT STLake Orion, MI 48362-3170
Mailing Address24 W Shadbolt StLake Orion, MI 48362-3170 · (248) 287-2072
Phone(248) 287-2072
Sole ProprietorYes
Enumeration DateNovember 1, 2013
Last NPPES UpdateJune 20, 2014
✔ NPI 1629407580 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 MI · 578640-09
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.
24 W SHADBOLT ST, Lake Orion, MI 48362
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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 Martin's NPI number?

The NPI number for Jessica Martin is 1629407580. It was assigned to this individual provider in the NPPES registry on November 1, 2013.

Where is Jessica Martin located?

Jessica Martin practices at 24 W Shadbolt St, Lake Orion, MI 48362. The listed phone number is (248) 287-2072.

What is Jessica Martin'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 Martin was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.