JACK WELLS, LMT
Massage Therapist
Active
Individual
NPI: 1023220860
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 11767 (OR) |
Frequently Asked Questions
NPI 1023220860 is the National Provider Identifier for JACK WELLS, LMT, a Massage Therapist provider located in Keizer, OR. This NPI was enumerated on May 4, 2007.
JACK WELLS, LMT practices at 4630 RIVER RD N, Keizer, OR 97303.
Quick Facts
- NPI
- 1023220860
- Type
- Individual
- Enumerated
- May 4, 2007
- Last Updated
- Jul 8, 2007
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