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

Jereck Carmona

Individual provider Massage Therapist · NPI 1629642343

Jereck Carmona is a Massage Therapist in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2021.

Licensed in
WA
In the registry since
2021

Practice location Address checks out

4520 Intelco Loop SE Ste 4E
Lacey, WA 98503-6012
Phone: (360) 402-6776
Fax: (360) 347-1850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA61161777 (WA)

Record details

NPI number1629642343
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESMay 17, 2021
Certification dateMay 17, 2021
Mailing address9083 Wyatt Ct Se, Tumwater, WA 98501

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