MR. JERRAD LEE BENTON LMT, MMP
NPI 1891211017
Massage Therapist in Saint Louis, MO

NPI Status: Active since August 18, 2017

Contact Information

2430 TELLICHERRY DR
SAINT LOUIS, MO
ZIP 63125
Phone: (314) 600-6293

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  • Individual
  • Male
  • Massage Therapist

About JERRAD BENTON

This page provides the complete NPI Profile along with additional information for Jerrad Benton, a provider established in Saint Louis, Missouri with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1891211017 assigned on August 2017. The practitioner's primary taxonomy code is 225700000X with license number 2001031193 (MO). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1891211017
Provider Name
MR. JERRAD LEE BENTON LMT, MMP
Gender
Male
Entity Type
Individual
Location Address
2430 TELLICHERRY DR SAINT LOUIS, MO 63125
Location Phone
(314) 600-6293
Mailing Address
2430 TELLICHERRY DR. 300A SAINT LOUIS, MO 63125
Mailing Phone
(314) 600-6293
Is Sole Proprietor?
Yes
Enumeration Date
08-18-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
2001031193
License State
MO
Taxonomy Description
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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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891211017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2818141202
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 4 + 1 + 2 + 0 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1891211017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891211017, enumerated in the NPI registry as an "individual" on August 18, 2017

The provider is located at 2430 Tellicherry Dr Saint Louis, Mo 63125 and the phone number is (314) 600-6293

The provider's speciality is Massage Therapist with taxonomy code 225700000X

This NPI record was last updated on August 18, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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