Individual provider · Type 1 NPI

Jack Percy Dillender Ii, LMT

Massage Therapist · Columbia, MO

NPI number 1881828762 Active

Practice location

709 Manor Dr
Columbia, MO 65203-1737

Call (573) 814-1418 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2002028196 (MO)

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 1881828762

Jack Percy Dillender Ii, LMT's National Provider Identifier is 1881828762, issued on May 7, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, MO. The record was last updated on May 7, 2009.