Individual provider · Type 1 NPI

Phyllis V. Jordan, LMT, RMP

Massage Therapist · Frederick, MD

NPI number 1962007096 Active

Practice location

263 W Patrick St
Frederick, MD 21701-6910

Call (301) 388-5237 Map

Mailing address

21 E A St Apt 1
Brunswick, MD 21716-1473

Other practice locations

  • 236 W Patrick Street, Frederick, MD 21701 · (301) 388-5237

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X0019015415 (VA)
Massage Therapist Primary 225700000XR02519 (MD)

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 1962007096

Phyllis V. Jordan, LMT, RMP's National Provider Identifier is 1962007096, issued on Dec 4, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Frederick, MD. The record was last updated on Dec 4, 2020.