Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Benjamin Gonzalez, LMT

Individual provider Massage Therapist · NPI 1417247172

Jacob Benjamin Gonzalez, LMT is a Massage Therapist in Lake Havasu City, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2011
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

133 Saguaro Dr
Lake Havasu City, AZ 86403-6657
Phone: (928) 846-7845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT-13311 (AZ)

Record details

NPI number1417247172
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 15, 2011
Last updated in NPPESApril 15, 2011

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