MEDICARE: REJUVENATION OF SELF ENJOYMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1457216251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REJUVENATION OF SELF ENJOYMENT

Provider Business Mailing Address
First Line	:	400 S CLARK ST
Second Line	:
City	:	NASHVILLE
State	:	NC
Zip	:	27856-1108
Country	:	US
Telephone Number	:	252-314-7097
Fax Number	:

Provider Business Practice Location Address
First Line	:	3204 SUNSET AVE STE C
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-3588
Country	:	US
Telephone Number	:	252-314-7097
Fax Number	:

Authorized Official
Title or Position	:	LICENSED MASSAGE THERAPIST
Name	:	JENIKA GUNTER
Credential	:
Telephone Number	:	252-314-7097

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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