MS. STEPHANIE A JETT (NPI# 1205065851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205065851 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE A JETT |
| Credential | LMBT, CLT |
| Practice Address |
219 Racine Dr Suite C Wilmington NC 28403-8827 |
| Practice Telephone | 9105464301 |
| Practice Fax Number | 9103923986 |
| Mailing Telephone | 9105464301 |
| Mailing Fax Number | 9103923986 |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2009-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 08862 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564178 | Stephanie Suzanne Jett | Occupational Therapy Assistant | 32295 Farmersville Rd, Farmington Hills, MI 48334-3500 | 2020-10-07 |
| Street Address |
219 RACINE DR SUITE C |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-8827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639157019 | Alicia Donatone | Occupational Therapist | 219 Racine Dr, Suite C, Wilmington, NC 28403-8702 | 2006-01-05 |
| 1265891915 | Megan Sahraie | Occupational Therapist | 219 Racine Dr, Wilmington, NC 28403-8827 | 2016-02-22 |
| 1669732079 | Coastal Kids Therapy Pllc | Occupational Therapist | 219 Racine Dr, Suite 1-a, Wilmington, NC 28403-8827 | 2012-05-18 |
| 1508141888 | Colleen Rose | Occupational Therapist | 219 Racine Dr, Suite 1-a, Wilmington, NC 28403-8827 | 2011-10-18 |
| 1437484813 | Lymphedema Management of Wilmington, P.C. | Clinic/Center | 219 Racine Dr, Suite C, Wilmington, NC 28403-8827 | 2009-10-02 |
| 1154483311 | Brendan C. Cook | Acupuncturist | 219 Racine Dr, Suite C, Wilmington, NC 28403-8827 | 2006-12-14 |
| 1194742858 | Len B Lecci | Psychologist | 219 Racine Dr, Wilmington, NC 28403-8827 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497631 | Deanna Renee Underwood | Massage Therapist | 2502 Silverside Rd Ste 9, Wilmington, DE 19810-3740 | 2020-11-06 |
| 1366041972 | Brandon Hammonds | Massage Therapist | 806 Autumn Leaves Ct, Wilmington, NC 28411-7777 | 2020-10-23 |
| 1689271405 | Sarah B Templeton | Massage Therapist | 7036 Wrightsville Ave # 102, Wilmington, NC 28403-3656 | 2020-10-05 |
| 1649887365 | Donna Black | Massage Therapist | 3105 Limestone Rd Ste 305, Wilmington, DE 19808-2156 | 2020-09-27 |
| 1124634530 | Alexis D. Boston | Massage Therapist | 202 Sandy Ln, Wilmington, MA 01887-6237 | 2020-09-21 |
| 1417563842 | Evelyn Abreu | Massage Therapist | 1510 Delaware Ave Apt B1d, Wilmington, DE 19806-3047 | 2020-09-21 |
| 1770199580 | Susan Aycock Marotti | Massage Therapist | 705 Bladen St, Wilmington, NC 28401-3527 | 2020-09-17 |
| 1194339952 | Niara L Anderson | Massage Therapist | 2102 N Claymont St, Wilmington, DE 19802-4612 | 2020-08-31 |
| 1457964488 | Eric C Thomas | Massage Therapist | 638 Bay View Ave Apt 220, Wilmington, CA 90744-5385 | 2020-08-28 |
| 1528693231 | Christina Lee Wood | Massage Therapist | 1904 Eastwood Rd Ste 101, Wilmington, NC 28403-5727 | 2020-03-03 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on MS. STEPHANIE A JETT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.