MEDICARE: MRS. AMY L. VESEY L.M.T.

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	33.024925	OH

General Provider Information

NPI Number	:	1518820950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY L. VESEY L.M.T.

Provider Business Mailing Address
First Line	:	134 WESTCHESTER DR.
Second Line	:	SUITE 4
City	:	AUSTINTOWN
State	:	OH
Zip	:	44515
Country	:	US
Telephone Number	:	330-793-5555
Fax Number	:	330-793-7649

Provider Business Practice Location Address
First Line	:	134 WESTCHESTER DR.
Second Line	:	SUITE 4
City	:	AUSTINTOWN
State	:	OH
Zip	:	44515
Country	:	US
Telephone Number	:	330-793-5555
Fax Number	:	330-793-7649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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