MATTHEW B JEFFERSON MASSAGE THERAPIST NPI 1952052490

NPI Information

NPI: 1952052490
Provider Name: MATTHEW B JEFFERSON, MASSAGE THERAPIST
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
8347A GREENSBORO DR
MC LEAN, VA
ZIP 22102
Phone: (571) 888-5193
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Matthew B Jefferson, MASSAGE THERAPIST is a massage therapist in Mc Lean, VA. 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. Matthew B Jefferson, MASSAGE THERAPIST NPI is 1952052490. 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:

8347A GREENSBORO DR
MC LEAN, VA
ZIP 22102-530
Phone: (571) 888-5193

The enumeration date for this NPI number is 1/17/2022 and was last updated on 1/17/2022.

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		0019012155	VIRGINIA	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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