Jessica Martin, MT is a
Massage Therapist based in Lake Orion, Michigan. Jessica Martin is licensed to practice in Michigan (license number 578640-09) and her current practice location is
24 W Shadbolt St, Lake Orion, Michigan. She can be reached at her office (for appointments etc.) via phone at
(248) 287-2072.
NPI number for Jessica Martin is 1629407580 and her current mailing address is 24 W Shadbolt St, Lake Orion, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629407580.
Healthcare Provider's Profile
Full Name | Jessica Martin |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 24 W Shadbolt St, Lake Orion, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629407580
- Provider Enumeration Date: 11/01/2013
- Last Update Date: 06/20/2014
Medical Identifiers
Medical identifiers for Jessica Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629407580 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 578640-09 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Martin, MT 24 W Shadbolt St, Lake Orion, MI 48362-3170 Ph: (248) 287-2072 | Jessica Martin, MT 24 W Shadbolt St, Lake Orion, MI 48362-3170 Ph: (248) 287-2072 |
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