Individual provider · Type 1 NPI
Jacob Peter Woltz, LMT
Massage Therapist · Waveland, MS
NPI number
1912736836
Active
Practice location
314 Highway 90 Ste 102
Waveland, MS 39576-2673
Mailing address
745 Kaleki Way
Diamondhead, MS 39525-4075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 2885 (MS) |
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.
About NPI 1912736836
Jacob Peter Woltz, LMT's National Provider Identifier is 1912736836, issued on Jul 30, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waveland, MS. The record was last updated on Jul 30, 2024.