Jayda C Stanley, LMT
Massage Therapist in Brockton, Massachusetts
1619715901- Practice location
- 74 Plain St Ste D, Brockton, MA 02301-7162
- Phone
- 610-291-9948
- Fax
- 610-291-9948
- Last updated
- July 19, 2024
Jayda Charlene Stanley is a Massage Therapist based in Brockton, MA. Jayda Charlene Stanley practices in Brockton, MA and has the professional credentials of LMT. The NPI Number for Jayda Charlene Stanley is 1619715901 and holds a License No. 17148 (MA). The current practice location address for Jayda Charlene Stanley is 74 Plain St Ste D, Brockton, MA 02301-7162 and can be reached out via phone at 610-291-9948 and via fax at 610-291-9948.
Provider Profile Details
- NPI Number
- 1619715901
- Provider Name
- Jayda Charlene Stanley
- Credential
- LMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 74 Plain St Ste D, Brockton, MA 02301-7162
- Phone Number
- 610-291-9948
- Fax Number
- 610-291-9948
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 19, 2024
- Last Update Date
- July 19, 2024
- Certification Date
- July 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Plain St Ste D
Brockton, MA 02301-7162 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7162
- Phone Number
- 610-291-9948
- Fax Number
- 610-291-9948
Provider Business Mailing Address Details
- Address
- 180 Main St Apt F135
Bridgewater, MA 02324-1467 - City
- Bridgewater
- State
- MA
- Zip
- 02324-1467
- Phone Number
- 610-291-9948
- Fax Number
- 610-291-9948
License Information
- License Number
- 17148
- License State
- MA
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Jayda C Stanley, LMT?
The NPI number of Jayda C Stanley, LMT is 1619715901. It was assigned on July 19, 2024 and is currently active in the NPPES registry.
What is the specialty of Jayda C Stanley, LMT?
Jayda C Stanley, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 17148.
Where does Jayda C Stanley, LMT practice?
The practice location is 74 Plain St Ste D, Brockton, MA 02301-7162. The office can be reached at 610-291-9948 (phone) or 610-291-9948 (fax).
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 1619715901 directly on the NPPES registry website.