Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERECK CARMONA
ActiveJERECK CARMONA is a Massage Therapist healthcare provider located in LACEY, Washington. NPI 1629642343 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LACEY, WA
Registration Details
- NPI Number
- 1629642343
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2021 (5.2269907803597 yrs)
- Last Updated
- May 17, 2021
- License
-
MA61161777 (WA)
Practice Information
- Address
-
4520 INTELCO LOOP SE STE 4ELACEY, WA, 985036012Browse WA providers · Browse ZIP 98503
- Phone
- 3604026776
- Fax
- 3603471850
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| EMILY TREAKLE-CHASE | LMT | 1154438687 |
| MS. ANGELA KRISTINA ROBERSON | LMP | 1447369137 |
| MS. SHAWNA T WINGATE | LMP | 1629170386 |
| MR. TODD LYNN MCLENDON | LMP | 1306929773 |
| CYNTHIA D DEAN | LMP | 1033294236 |
| KATE IDA MARCELLO | LMP | 1063583607 |
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.