Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124496849 Individual Practitioner Male Practitioner

Jacob Edward Gansneder , MASSAGE THERAPIST

Specialist • Keswick, VA

Professional Overview & Biography Verified Profile Summary

Jacob Gansneder, MASSAGE THERAPIST is a registered healthcare professional specializing in Specialist in Keswick, VA. Practice services are available at 3242 AVEBURY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3242 Avebury Ln

Keswick, VA 229479103

Telephone 4349814968

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Keswick, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Keswick, VA (878 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0019008724

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2015

Registered at 3242 AVEBURY LN, KESWICK, VA 229479103 (Tel: 4349814968)

📍
Updated Business Mailing Address September 11, 2015

Registered at 3242 AVEBURY LN, KESWICK, VA 229479103 (Tel: 4349814968)

👤
Provider Name / Credentials Updated September 11, 2015

Recorded as JACOB GANSNEDER, MASSAGE THERAPIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2015

Specialist (License #0019008724 in VA)

🟢
Initial NPI Registration & Enumeration September 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124496849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2015
Last Update: September 11, 2015
Sole Proprietor: No

Mailing Address

3242 Avebury Ln

Keswick, VA 229479103

Phone: 4349814968

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.