MEDICARE: JENNIFER WEEKS NC LMBT6986

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	6986	NC

General Provider Information

NPI Number	:	1699666347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER WEEKS NC LMBT6986

Provider Business Mailing Address
First Line	:	4317 ARENDELL ST STE 8
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2855
Country	:	US
Telephone Number	:	910-340-4575
Fax Number	:

Provider Business Practice Location Address
First Line	:	4317 ARENDELL ST STE 8
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2855
Country	:	US
Telephone Number	:	910-340-4575
Fax Number	:

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

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	07/11/2025

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