NPI 1104595453 · live from the CMS NPI Registry
Jonathan David Marshall, LMT
Massage Therapist in Washington, DC. National Provider Identifier 1104595453, active.
NPI record
| NPI | 1104595453 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 2714 2nd St Se, Washington, DC 20032 |
| Practice phone | 202-567-7533 |
| Enumerated | September 9, 2021 |
| Last updated | September 9, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MT2639 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.