Individual provider · Type 1 NPI
Jon David Ham, LMT
Massage Therapist · Fairfield, TX
NPI number
1922284520
Active
Practice location
106 N Keechi St
Fairfield, TX 75840-4226
Mailing address
210 W Dallas St
Palestine, TX 75801-3520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT044078 (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.
About NPI 1922284520
Jon David Ham, LMT's National Provider Identifier is 1922284520, issued on Jan 14, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fairfield, TX. The record was last updated on Jan 14, 2008.