Individual provider · Type 1 NPI

Jordan Smith, LMT

Massage Therapist · Appleton, WI

NPI number 1982230439 Active

Practice location

645 W Ridgeview Dr
Appleton, WI 54911-1254

Call (920) 997-9740 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11470-146 (WI)

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 1982230439

Jordan Smith, LMT's National Provider Identifier is 1982230439, issued on Mar 17, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Appleton, WI. The record was last updated on Mar 17, 2020.