Individual provider · Type 1 NPI

Jody Forcum, MMT

Massage Therapist · Bentonville, AR

NPI number 1902113665 Active

Practice location

1120 S Walton Blvd Ste 104
Bentonville, AR 72712-0075

Mailing address

1907 S 9th St Apt 213
Rogers, AR 72758-6327

Other practice locations

  • 198 W Marydale Ave, Soldotna, AK 99669-7501 · (907) 262-7977

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6561 (AR)

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 1902113665

Jody Forcum, MMT's National Provider Identifier is 1902113665, issued on Sep 1, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bentonville, AR. The record was last updated on Jan 28, 2019.