Individual provider · Type 1 NPI

Jack Weair Wooten Jr.

Massage Therapist · Nashville, TN

NPI number 1003414293 Active

Practice location

2612 W Heiman St Apt D38
Nashville, TN 37208-1818

Call (615) 686-5212 Map

Other practice locations

  • 2612 W Heiman St, Apt 38D, Nashville, TN 37208
  • 2612 W Heiman St Apt D38, Nashville, TN 37208-1818
  • 2612 W Heiman St Apt D38, Nashville, TN 37208-1818

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2212 (TN)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1003414293

Jack Weair Wooten Jr.'s National Provider Identifier is 1003414293, issued on Oct 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Nashville, TN. The record was last updated on Sep 29, 2026.