Individual provider · Type 1 NPI

Jacob Jon Henness, LMT MA

Massage Therapist · Phoenix, AZ

NPI number 1407985393 Active

Practice location

3543 N 7 St
Phoenix, AZ 85014

Fax (602) 263-3697

Mailing address

5638 W Glenrosa
Phoenix, AZ 85031

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT04134 (AZ)

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 1407985393

Jacob Jon Henness, LMT MA's National Provider Identifier is 1407985393, issued on Mar 5, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.