MEDICARE: JASMYNE WEIK

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	MSG014406	PA

General Provider Information

NPI Number	:	1790539641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMYNE WEIK

Provider Business Mailing Address
First Line	:	27 N CHURCH ST
Second Line	:
City	:	ROBESONIA
State	:	PA
Zip	:	19551-1103
Country	:	US
Telephone Number	:	484-529-9320
Fax Number	:

Provider Business Practice Location Address
First Line	:	3443 PENN AVE
Second Line	:
City	:	SINKING SPRING
State	:	PA
Zip	:	19608-1181
Country	:	US
Telephone Number	:	610-678-8600
Fax Number	:

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

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	04/16/2024

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