Individual provider · Type 1 NPI
Jack Paul Rodriguez, LICENSED MASSAGE THE
Massage Therapist · White Oak, PA
NPI number
1205196532
Active
Practice location
3045 Jacks Run Road, Chiropractic Offices-Consales Health Center
White Oak, PA 15131
Fax (412) 678-9127
Mailing address
3787 Kelly Hollow Road
Monongahela, PA 15063-4522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MSG004871 (PA) |
| Massage Therapist | 225700000X | None 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.
Another provider at this address
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About NPI 1205196532
Jack Paul Rodriguez, LICENSED MASSAGE THE's National Provider Identifier is 1205196532, issued on May 21, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in White Oak, PA. The record was last updated on May 21, 2012.