Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILSON JORDAN
Active Sole ProprietorWILSON JORDAN is a Massage Therapist healthcare provider located in ISSAQUAH, WA, Washington. NPI 1710437835 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ISSAQUAH, WA, WA
Registration Details
- NPI Number
- 1710437835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2016 (9.8269964312515 yrs)
- Last Updated
- Oct 27, 2016
- License
-
MA00004192 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1836 25TH AVE NEISSAQUAH HIGHLANDS CHIROPRACTIC, LASER, & MASSAGE THERAISSAQUAH, WA, WA, 98029Browse WA providers · Browse ZIP 98029
- Phone
- 4254270809
- 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.