MEDICARE: JOYCELYN FLETCHER

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	MSG007319	PA

General Provider Information

NPI Number	:	1447678032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYCELYN FLETCHER

Provider Business Mailing Address
First Line	:	4716 CHESTNUT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-4645
Country	:	US
Telephone Number	:	215-760-1706
Fax Number	:

Provider Business Practice Location Address
First Line	:	2018 N 22ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19121-1407
Country	:	US
Telephone Number	:	267-333-9609
Fax Number	:

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

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	02/23/2015

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Directions to “ JOYCELYN FLETCHER ” Practice Location

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