Wellformed AI

NPI 1861741290 · live from the CMS NPI Registry

Jordan G Woodson, NCTMB 440000-00

Massage Therapist in Overland Park, KS. National Provider Identifier 1861741290, active.

NPI record

NPI1861741290 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location6917 W 76th St Ste 101, Overland Park, KS 66204
Practice phone913-362-4800
EnumeratedAugust 30, 2012
Last updatedAugust 30, 2012
Sole proprietorNo
Other namesJordan Hunter

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.