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

Mr. Jerrad Lee Benton, LMT, MMP

Individual provider Massage Therapist · NPI 1891211017

Mr. Jerrad Lee Benton, LMT, MMP is a Massage Therapist in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2017
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2430 Tellicherry Dr
Saint Louis, MO 63125-3108
Phone: (314) 600-6293
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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 2001031193 (MO)

Record details

NPI number1891211017
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT , MMP
Sole proprietorYes
NPI enumeratedAugust 18, 2017
Last updated in NPPESJuly 21, 2022

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