DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA AINSWORTH BLACK, LMT

Active

JESSICA AINSWORTH BLACK, LMT is a Massage Therapist healthcare provider located in CARBONDALE, Illinois. NPI 1447014139 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · CARBONDALE, IL

Registration Details

NPI Number
1447014139
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2024 (2.4632891607315 yrs)
Last Updated
Feb 12, 2024
License
227.013773 (IL)

Practice Information

Address
2031 S ILLINOIS AVE
CARBONDALE, IL, 629035909
Browse IL providers · Browse ZIP 62903
Phone
6184577732
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in CARBONDALE, IL

Name Credential NPI
AGNIESZKA MONIKA SAWRASEWICZ MT 1215757224
KANDY M VANDERKOOI LMT 1316811334
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.