MEDICARE: MS. SHAREESE JAMES 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	MSG004421	PA

General Provider Information

NPI Number	:	1528941549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAREESE JAMES LMT

Provider Business Mailing Address
First Line	:	7422 CASTOR AVE
Second Line	:	PMB 5084
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149
Country	:	US
Telephone Number	:	267-666-9872
Fax Number	:	267-666-9872

Provider Business Practice Location Address
First Line	:	7422 CASTOR AVE
Second Line	:	PMB 5084
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149
Country	:	US
Telephone Number	:	267-666-9872
Fax Number	:	267-666-9872

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

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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