Individual provider · Type 1 NPI

Jason Shivers, LMT

Massage Therapist · Little Rock, AR

NPI number 1417482233 Active

Practice location

1301 Scott St, Suite 11
Little Rock, AR 72202-5051

Mailing address

923 W Charles Bussey Ave
Little Rock, AR 72206-1110

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X8452 (AR)

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 1417482233

Jason Shivers, LMT's National Provider Identifier is 1417482233, issued on Apr 30, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Little Rock, AR. The record was last updated on Apr 30, 2017.