Individual provider · Type 1 NPI

Jack Ballard, L.M.P

Massage Therapist · Silverdale, WA

NPI number 1679948293 Active

Practice location

10513 Silverdale Way NW Ste 101
Silverdale, WA 98383-9499

Call (360) 698-4411 Map

Mailing address

10513 Silverdale Way Suite 101
Silverdale, WA 98383

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X60473288 (WA)

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 1679948293

Jack Ballard, L.M.P's National Provider Identifier is 1679948293, issued on Dec 8, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Silverdale, WA. The record was last updated on Dec 8, 2015.