MEDICARE: JESSICA LEE CAJKA 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	13453	TN
2	225700000X	Massage Therapist	6198	AL

General Provider Information

NPI Number	:	1467309732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LEE CAJKA LMT

Provider Business Mailing Address
First Line	:	9694 MADISON BLVD STE A13
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-9140
Country	:	US
Telephone Number	:	256-962-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	9694 MADISON BLVD STE A13
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-9140
Country	:	US
Telephone Number	:	256-962-2040
Fax Number	:

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

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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