MEDICARE: LYNSEY VESTAL 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	MT-28394	AZ

General Provider Information

NPI Number	:	1417809583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNSEY VESTAL LMT

Provider Business Mailing Address
First Line	:	3895 N MELODY ST
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86409-3304
Country	:	US
Telephone Number	:	928-377-2394
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 N STOCKTON HILL RD
Second Line	:
City	:	KINGMAN
State	:	AZ
Zip	:	86401-4660
Country	:	US
Telephone Number	:	928-377-2394
Fax Number	:

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

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

Similar Medicare Providers

1184576126 — CHRISTINE LEE ROBINS
Practice Location Address:

4379 GEMSTONE AVE
KINGMAN, AZ
86401-7491

Practice Phone: 541-415-1392
Practice Fax:

1629071030 — DR. ROBERT JAMES ROSE D.C.
Practice Location Address:

2215 E HUALAPAI MOUNTAIN RD , STE B
KINGMAN, AZ
86401-8324

Practice Phone: 928-718-0808
Practice Fax:

1174529077 — ELLEN LOUISE BOYER CRNA
Practice Location Address:

1740 SYCAMORE AVE
KINGMAN, AZ
86401-0927

Practice Phone: 602-273-6770
Practice Fax: 602-889-0489

1780680686 — DR. LORNE FRANKLIN TAYLOR D.O.
Practice Location Address:

1739 E BEVERLY AVE , STE 201
KINGMAN, AZ
86401-3593

Practice Phone: 928-692-3456
Practice Fax: 928-692-7071

1073510491 — DR. KENNETH DOUGLAS JACKSON M.D.
Practice Location Address:

1739 E BEVERLY AVE , SUITE 201
KINGMAN, AZ
86401-3593

Practice Phone: 928-692-3456
Practice Fax: 928-692-7071

1538166046 — DR. JOSEPH HENRY TEDESCO D.O.
Practice Location Address:

1739 E BEVERLY AVE , SUITE 201
KINGMAN, AZ
86401-3593

Practice Phone: 928-692-3456
Practice Fax: 928-692-7071

Directions to “ LYNSEY VESTAL LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.