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Benny Ball, LMT

Massage Therapist in Jacksonville, FL. Individual provider (NPI-1).

NPI number1669937090
StatusActive
Last updated in NPPESFeb 11, 2019

Details

NPI
1669937090
Entity type
Individual (NPI-1)
Name
Benny Ball
Credential
LMT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 11, 2019
Last updated
Feb 11, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist57604FLYes

Practice location

2 Independent Dr Ste 108
Jacksonville, FL 32202-5016

Phone 904-437-1347

Mailing address

6325 Delacy Rd
Jacksonville, FL 32244-1903

Phone 904-437-1347

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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