Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LACEY JORDAN
Active Sole ProprietorLACEY JORDAN is a Massage Therapist healthcare provider located in CLAYTON, Washington. NPI 1598292237 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · CLAYTON, WA
Registration Details
- NPI Number
- 1598292237
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2017 (9.2808484240812 yrs)
- Last Updated
- May 12, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
4581 WALLBRIDGE RDCLAYTON, WA, 991109799Browse WA providers · Browse ZIP 99110
- Phone
- 5098633839
- Primary Specialty
-
Massage Therapist
225700000X
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.