IndividualActive
Jacquelyn Lewis, LMT, NCTMB, CCA
NPI 1558692681 · Specialist · Fairfax, VT
Provider details
- NPI number
- 1558692681
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT, NCTMB, CCA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 019608 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1193 Ethan Allen Hwy
Fairfax, VT 05454-5433
Phone: (802) 999-9985
Fax: (802) 524-9800
Approximate (ZIP-level) locationGet directions
Mailing address
1193 Ethan Allen Hwy
Fairfax, VT 05454-5433
Registry dates
- Enumerated
- 2010-01-29
- Last updated
- 2010-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.