Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRAD LEE BENTON, LMT, MMP
Active Sole ProprietorMR. JERRAD LEE BENTON, LMT, MMP is a Massage Therapist healthcare provider located in SAINT LOUIS, Missouri. NPI 1891211017 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1891211017
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2017 (8.945610218091 yrs)
- Last Updated
- Jul 21, 2022
- License
-
2001031193 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2430 TELLICHERRY DRSAINT LOUIS, MO, 631253108Browse MO providers · Browse ZIP 63125
- Phone
- 3146006293
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DEBORAH A JONES | LMT | 1467524512 |
| VICTORIA LEA BOTHMAN | LMT | 1154495919 |
| SARITA KALU | LMT | 1962569293 |
| MS. SUSAN L GOEN | LMT | 1316099955 |
| MS. CHRISTINE L KOOSER | NCMT, LMT | 1598093411 |
| MS. SUSAN PAIGE WILKINSON | NCMT, LMT, OMERI | 1275861015 |
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.