Individual provider · Type 1 NPI

Jacob Bradley Williams, LMT, MMT, NMT, CLT

Massage Therapist · Grand Rapids, MI

NPI number 1497518955 Active

Practice location

700 3 Mile Rd NW
Grand Rapids, MI 49544-8220

Call (231) 510-8630 Map

Mailing address

1530 Johnston St SE
Grand Rapids, MI 49507-2831

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501014520 (MI)

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 1497518955

Jacob Bradley Williams, LMT, MMT, NMT, CLT's National Provider Identifier is 1497518955, issued on Feb 6, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 6, 2024.