Healthcare Provider Details

I. General information

NPI: 1003730284
Provider Name (Legal Business Name): JASMINE D SHEHANE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 PARSONS AVE
COLUMBUS OH
43215-3982
US

IV. Provider business mailing address

744 LINWOOD AVE
COLUMBUS OH
43205-2836
US

V. Phone/Fax

Practice location:
  • Phone: 380-249-9846
  • Fax:
Mailing address:
  • Phone: 380-249-9846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.024062
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: