Individual provider · Type 1 NPI

Jordan Matthew Green

Massage Therapist · Stilwell, OK

NPI number 1669239117 Active

Practice location

201 S 2nd St
Stilwell, OK 74960-3838

Mailing address

363 Hidden Glen Trl
Kansas, OK 74347-9393

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X180477 (OK)

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 1669239117

Jordan Matthew Green's National Provider Identifier is 1669239117, issued on Mar 1, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stilwell, OK. The record was last updated on Mar 1, 2024.