Individual provider · Type 1 NPI

Jacob Glenn Rose, LMP

Massage Therapist · Kennewick, WA

NPI number 1720330293 Active

Practice location

633 S. Young Street
Kennewick, WA 99336

Call (509) 438-2029 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 00012661 (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 1720330293

Jacob Glenn Rose, LMP's National Provider Identifier is 1720330293, issued on Oct 9, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kennewick, WA. The record was last updated on Oct 9, 2012.