NPI 1174974901 · live from the CMS NPI Registry
Jordan Adams
Massage Therapist in Plant City, FL. National Provider Identifier 1174974901, active.
NPI record
| NPI | 1174974901 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 601 E Alexander St Ste 625, Plant City, FL 33563 |
| Practice phone | 813-774-2418 |
| Enumerated | June 22, 2016 |
| Last updated | August 9, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MA74076 (FL) |
| Developmental Therapist | 222Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.