Individual provider · Type 1 NPI

Jayda Charlene Stanley, LMT

Massage Therapist · Brockton, MA

NPI number 1619715901 Active

Practice location

74 Plain St Ste D
Brockton, MA 02301-7162

Call (610) 291-9948 Map

Fax (610) 291-9948

Mailing address

180 Main St Apt F135
Bridgewater, MA 02324-1467

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X17148 (MA)

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.

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About NPI 1619715901

Jayda Charlene Stanley, LMT's National Provider Identifier is 1619715901, issued on Jul 19, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brockton, MA. The record was last updated on Jul 19, 2024.