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JERECK CARMONA
NPI 1629642343
Massage Therapist in Lacey, WA

Active since May 17, 2021
4520 INTELCO LOOP SE STE 4E, LACEY, WA 98503(360) 402-6776(360) 347-1850 Get Directions Write a Review

NPPES record last updated: May 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jereck Carmona NPPES

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

JERECK CARMONA (NPI 1629642343) is an individual massage therapist in Lacey, Washington, licensed in Washington (MA61161777) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1629642343
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJERECK CARMONA
Location Address4520 INTELCO LOOP SE STE 4ELacey, WA 98503-6012
Mailing Address9083 Wyatt Ct SeTumwater, WA 98501 · (253) 820-6521
Phone(360) 402-6776
Fax(360) 347-1850
Sole ProprietorNo
Enumeration DateMay 17, 2021
NPPES CertifiedMay 17, 2021
✔ NPI 1629642343 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 WA · MA61161777
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.
4520 INTELCO LOOP SE STE 4E, Lacey, WA 98503
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Other Providers at the Same Location NPPES 5

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

MRS. SHEYANNE LEE FASSNACHT MA60615929
Massage Therapist
4520 INTELCO LOOP SE STE 4E
LACEY, WA 98503
Thurston County (360) 402-6776
HEIDI COPE
Massage Therapist
4520 INTELCO LOOP SE STE 4E
LACEY, WA 98503
Thurston County (360) 402-6776
MRS. AMY MURRY LMT
Massage Therapist
4520 INTELCO LOOP SE STE 4E
LACEY, WA 98503
Thurston County (360) 402-6776
CODY LEIGH LMT
Massage Therapist
4520 INTELCO LOOP SE STE 4E
LACEY, WA 98503
Thurston County (360) 402-6776
ELIZABETH WEBER LMT
Massage Therapist
4520 INTELCO LOOP SE STE 4E
LACEY, WA 98503
Thurston County (360) 402-6776

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 Jereck Carmona's NPI number?

The NPI number for Jereck Carmona is 1629642343. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Jereck Carmona located?

Jereck Carmona practices at 4520 Intelco Loop SE Ste 4E, Lacey, WA 98503. The listed phone number is (360) 402-6776.

What is Jereck Carmona'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 Jereck Carmona was last updated on May 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.