Individual
MR. JASON MONROE ROSKELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
14895 N STATE AVE, MIDDLEFIELD, OH 44062-9747
(440) 632-5814
Mailing address
PO BOX 795, MIDDLEFIELD, OH 44062-0795
(440) 632-5814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.014118
OH
Other
Enumeration date
02/12/2008
Last updated
04/30/2020
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