Individual provider · Type 1 NPI

Brook Jordan, LMT

Massage Therapist · Black Hawk, CO

NPI number 1083374698 Active

Practice location

514 Coyote Cir
Black Hawk, CO 80422-8712

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1083374698

Brook Jordan, LMT's National Provider Identifier is 1083374698, issued on Dec 22, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Black Hawk, CO. The record was last updated on Dec 22, 2021.