MEDICARE: MARIA JAZMINE CHAVEZ 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
1	225700000X	Massage Therapist	2020025117	MO

General Provider Information

NPI Number	:	1356122956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA JAZMINE CHAVEZ LMT

Provider Business Mailing Address
First Line	:	7000 NW PRAIRIE VIEW RD STE 130
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3808
Country	:	US
Telephone Number	:	816-226-6593
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 NW PRAIRIE VIEW RD STE 130
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3808
Country	:	US
Telephone Number	:	816-226-6593
Fax Number	:

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

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	01/06/2026

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