MEDICARE: JASMINE SIMMONS 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	0019018275	VA

General Provider Information

NPI Number	:	1952183998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE SIMMONS LMT

Provider Business Mailing Address
First Line	:	12020 BIRCHVIEW DR
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-4198
Country	:	US
Telephone Number	:	202-845-0786
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400 STAMP RD STE 202
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-6728
Country	:	US
Telephone Number	:	202-845-0786
Fax Number	:

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

Provider Enumeration Date	:	10/16/2023
Last Update Date	:	10/16/2023

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Directions to “ JASMINE SIMMONS LMT” Practice Location

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