Individual provider · Type 1 NPI

Jordan Wan, M.T., TAI NA

Massage Therapist · Roseville, OH

NPI number 1326695495 Active

Practice location

1141 Smith Lane Ste #3, Ste #3
Roseville, OH 95661-4123

Call (916) 783-3003 Map

Fax (916) 783-4799

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X71847798 (CA)

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.

About NPI 1326695495

Jordan Wan, M.T., TAI NA's National Provider Identifier is 1326695495, issued on Aug 22, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Roseville, OH. The record was last updated on Aug 22, 2019.