MEDICARE: MS. MORGAN JENKINS L.M.T.

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	5254	KY

General Provider Information

NPI Number	:	1851780829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MORGAN JENKINS L.M.T.

Provider Business Mailing Address
First Line	:	1637 OLD FORD RD
Second Line	:	APT. 12
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-1900
Country	:	US
Telephone Number	:	812-620-7691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1637 OLD FORD RD
Second Line	:	APT. 12
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-1900
Country	:	US
Telephone Number	:	812-620-7691
Fax Number	:

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

Provider Enumeration Date	:	01/14/2015
Last Update Date	:	01/14/2015

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