MR. JERRAD LEE BENTON LMT, MMP
NPI 1891211017
Massage Therapist in Saint Louis, MO

Q: What is Jerrad Benton's NPI number?

The NPI number for Jerrad Benton is 1891211017. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Q: What is Jerrad Benton'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 Jerrad Benton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 18, 2017

2430 TELLICHERRY DR, SAINT LOUIS, MO 63125(314) 600-6293 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 18, 2017 (2 updates tracked since 2017).

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About Mr. Jerrad Lee Benton Lmt, Mmp NPPES

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

MR. JERRAD LEE BENTON LMT, MMP (NPI 1891211017) is an individual massage therapist in Saint Louis, Missouri, licensed in Missouri (2001031193) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1891211017

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. JERRAD LEE BENTONCredential: LMT, MMP

Location Address2430 TELLICHERRY DRSaint Louis, MO 63125-3108

Mailing Address2430 Tellicherry Dr., 300aSaint Louis, MO 63125-3108 · (314) 600-6293

Phone(314) 600-6293

Sole ProprietorYes

Enumeration DateAugust 18, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1891211017 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 MO · 2001031193

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.

2430 TELLICHERRY DR, Saint Louis, MO 63125

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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 Jerrad Benton's NPI number?

The NPI number for Jerrad Benton is 1891211017. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Where is Jerrad Benton located?

Jerrad Benton practices at 2430 Tellicherry Dr, Saint Louis, MO 63125. The listed phone number is (314) 600-6293.

What is Jerrad Benton'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 Jerrad Benton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.