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NPI Code Detail

MEDICARE: JAMIE SCHAB LMT

MEDICARE: JAMIE SCHAB LMT
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
1225700000XMassage TherapistMT-23901AZ

General Provider Information

NPI Number : 1629910484
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE SCHAB LMT
Provider Business Mailing Address
First Line : 885 S EQUESTRIAN TRL
Second Line :
City : CHINO VALLEY
State : AZ
Zip : 86323-6328
Country : US
Telephone Number : 928-830-3674
Fax Number :
Provider Business Practice Location Address
First Line : 1590 WILLOW CREEK RD
Second Line :
City : PRESCOTT
State : AZ
Zip : 86301-1164
Country : US
Telephone Number : 928-227-1899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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