Healthcare Provider Details

I. General information

NPI: 1447678032
Provider Name (Legal Business Name): JOYCELYN FLETCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2014
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

552 LANCASTER AVE # 4A
BERWYN PA
19312-1635
US

IV. Provider business mailing address

3960 DENNISON AVE APT B1
DREXEL HILL PA
19026-2732
US

V. Phone/Fax

Practice location:
  • Phone: 445-210-6682
  • Fax:
Mailing address:
  • Phone: 215-908-0172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMSG007319
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: