Individual provider · Type 1 NPI
Jack Alan Brown Iii
Massage Therapist · Grants Pass, OR
NPI number
1982155768
Active
Practice location
200 Redwood Hwy
Grants Pass, OR 97527-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 17531 (OR) |
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.
Another provider at this address
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About NPI 1982155768
Jack Alan Brown Iii's National Provider Identifier is 1982155768, issued on Oct 17, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grants Pass, OR. The record was last updated on Oct 17, 2016.