Individual provider · Type 1 NPI

John E. Prokop, LMT

Massage Therapist · Madison, OH

NPI number 1629673512 Active

Practice location

840 N Lake St
Madison, OH 44057-2948

Mailing address

2850 S Ridge Rd
Perry, OH 44081-9670

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33.013570 (OH)

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 1629673512

John E. Prokop, LMT's National Provider Identifier is 1629673512, issued on Dec 1, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Madison, OH. The record was last updated on Dec 1, 2020.