Individual provider · Type 1 NPI

Jacob Edward Gough

Massage Therapist · Washington, DC

NPI number 1073067765 Active

About NPI 1073067765

Jacob Edward Gough's National Provider Identifier is 1073067765, issued on Aug 10, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Washington, DC. The record was last updated on Aug 10, 2016.