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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 6561 (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.