Individual provider · Type 1 NPI
Jessica Ainsworth Black, LMT
Massage Therapist · Carbondale, IL
NPI number
1447014139
Active
Practice location
2031 S Illinois Ave
Carbondale, IL 62903-5909
Mailing address
53 Lakeside Dr
Makanda, IL 62958-2639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.013773 (IL) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Carbondale
About NPI 1447014139
Jessica Ainsworth Black, LMT's National Provider Identifier is 1447014139, issued on Feb 12, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Carbondale, IL. The record was last updated on Feb 12, 2024.