MEDICARE: MS. JENNIFER BRUMFIELD 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	8791	LA

General Provider Information

NPI Number	:	1598451031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER BRUMFIELD LMT

Provider Business Mailing Address
First Line	:	2225 COLLEGE DR APT 189-1
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-1862
Country	:	US
Telephone Number	:	225-573-2074
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 COLLEGE DR APT 189-1
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-1862
Country	:	US
Telephone Number	:	225-573-2074
Fax Number	:

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

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	04/17/2023

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