Individual provider · Type 1 NPI

Jan Lee Bivins, MASSAGE THERAPIST

Massage Therapist · Odessa, TX

NPI number 1780019869 Active

Practice location

322 N Texas Ave Ste 2
Odessa, TX 79761-5184

Call (432) 352-4570 Map

Mailing address

5514 W Miles St
Odessa, TX 79763-9000

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT027544 (TX)

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 1780019869

Jan Lee Bivins, MASSAGE THERAPIST's National Provider Identifier is 1780019869, issued on Sep 9, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Odessa, TX. The record was last updated on Sep 9, 2013.