MEDICARE: P&E MASSAGE AND FACIALS LLC

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

General Provider Information

NPI Number	:	1649118514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P&E MASSAGE AND FACIALS LLC

Provider Business Mailing Address
First Line	:	725 30TH ST STE 209-11
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3870
Country	:	US
Telephone Number	:	916-513-9549
Fax Number	:	916-914-2121

Provider Business Practice Location Address
First Line	:	725 30TH ST STE 209-11
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-3870
Country	:	US
Telephone Number	:	916-513-9549
Fax Number	:	916-914-2121

Authorized Official
Title or Position	:	OWNER, MASSAGE THERAPIST
Name	:	BENJAMIN GRANT
Credential	:	CMT
Telephone Number	:	916-513-9549

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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