Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRIS JACK, PTA, MT
Active Sole ProprietorCHRIS JACK, PTA, MT is a Massage Therapist healthcare provider located in KOKOMO, Indiana. NPI 1992317051 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · KOKOMO, IN
Registration Details
- NPI Number
- 1992317051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2020 (5.9461068729062 yrs)
- Last Updated
- Aug 20, 2020
- License
-
MT20901752 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1781 E LINCOLN RDKOKOMO, IN, 469023993Browse IN providers · Browse ZIP 46902
- Phone
- 7654552014
- Fax
- 7654556099
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in KOKOMO, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINA RACHEL KENNER | MASSAGE THERAPIST | 1083307748 |
| JOEL HARSH | LMT | 1083435887 |
| KARALYNA FIVECOATE | LMT | 1275493447 |
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.