Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB PETER WOLTZ, LMT
Active Sole ProprietorMassage Therapist · WAVELAND, MS
Registration Details
- NPI Number
- 1912736836
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2024 (1.7606514521468 yrs)
- Last Updated
- Jul 30, 2024
- License
-
2885 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
314 HIGHWAY 90 STE 102WAVELAND, MS, 395762673Browse MS providers · Browse ZIP 39576
- Phone
- 2283041209
- 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.