DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACOB EDWARD GOUGH

Active

MR. JACOB EDWARD GOUGH is a Massage Therapist healthcare provider located in WASHINGTON, Washington D.C.. NPI 1073067765 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · WASHINGTON, DC

Registration Details

NPI Number
1073067765
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2016 (9.9666030163869 yrs)
Last Updated
Aug 10, 2016
License
MT1418 (DC)

Practice Information

Address
1330 U ST NW
#300
WASHINGTON, DC, 200097991
Browse DC providers · Browse ZIP 20009
Phone
2028885595
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in WASHINGTON, DC

Name Credential NPI
ERRICA YVETTE POINDEXTER MT 1508926213
ROBERT M PETTY PTA MT 1174683882
KARL ARMSTRONG HOUCK MM, LMT, NCTMB, CPT 1073795001
MR. GABRIEL SKINNER SKINNER LMT 1417139445
MS. RITA OFFER LMT 1699947788
MR. ROBERT L WHITE JR. CMT 1457528002
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.