Active NPIIndividual providerSole proprietor

Jessica A Greenbaum, LMT

Massage Therapist in Mount Desert, Maine

NPI Number1063780252
Practice location
364 Sound Dr, Mount Desert, ME 04660-6612
Fax
—
Last updated
December 2, 2011

Jessica Ann Greenbaum is a Massage Therapist based in Mount Desert, ME. Jessica Ann Greenbaum practices in Mount Desert, ME and has the professional credentials of LMT. The NPI Number for Jessica Ann Greenbaum is 1063780252 and holds a License No. MT157 (ME). The current practice location address for Jessica Ann Greenbaum is 364 Sound Dr, Mount Desert, ME 04660-6612 and can be reached out via phone at 207-276-3031.

Provider Profile Details

NPI Number
1063780252
Provider Name
Jessica Ann Greenbaum
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
364 Sound Dr, Mount Desert, ME 04660-6612
Phone Number
207-276-3031
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Other Names
-- Jessie Greenbaum (Other Name)
Provider Enumeration Date
December 2, 2011
Last Update Date
December 2, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
364 Sound Dr
Mount Desert, ME 04660-6612
State
Maine
Zip
04660-6612
Phone Number
207-276-3031
Mount Desert, ME 04660Get directions →

Provider Business Mailing Address Details

Address
364 Sound Dr
Mount Desert, ME 04660-6612
City
Mount Desert
State
ME
Zip
04660-6612
Phone Number
207-276-3031

License Information

License Number
MT157
License State
ME
Taxonomy
Massage Therapist · 225700000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica A Greenbaum, LMT?

The NPI number of Jessica A Greenbaum, LMT is 1063780252. It was assigned on December 2, 2011 and is currently active in the NPPES registry.

What is the specialty of Jessica A Greenbaum, LMT?

Jessica A Greenbaum, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in ME under license number MT157.

Where does Jessica A Greenbaum, LMT practice?

The practice location is 364 Sound Dr, Mount Desert, ME 04660-6612. The office can be reached at 207-276-3031 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063780252 directly on the NPPES registry website.

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