Healthcare Provider Details

I. General information

NPI: 1235769548
Provider Name (Legal Business Name): JENNIFER CATHEY LMT, MMT, NKT, MLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. JENNIFER STROER

II. Dates (important events)

Enumeration Date: 01/26/2020
Last Update Date: 12/14/2025
Certification Date: 01/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 WRIGLEY BLVD
SUMMERVILLE SC
29485-7297
US

IV. Provider business mailing address

103 WRIGLEY BLVD
SUMMERVILLE SC
29485-7297
US

V. Phone/Fax

Practice location:
  • Phone: 618-789-4686
  • Fax:
Mailing address:
  • Phone: 618-789-4686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227017115
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number11594
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: