JERECK CARMONA NPI 1629642343

NPI Information

NPI: 1629642343
Provider Name: JERECK CARMONA
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4520 INTELCO LOOP SE STE 4E
LACEY, WA
ZIP 98503
Phone: (360) 402-6776
Get Directions

Jereck Carmona is a massage therapist in Lacey, WA. The provider is 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. Jereck Carmona NPI is 1629642343. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4520 INTELCO LOOP SE STE 4E
LACEY, WA
ZIP 98503-012
Phone: (360) 402-6776
Fax: (360) 347-1850

The enumeration date for this NPI number is 5/17/2021 and was last updated on 5/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA61161777	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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