Individual
MR. JASON ANDREA FELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
1 E MELLEN ST STE 208, HAMPTON, VA 23663-1709
(757) 535-7539
(757) 544-9478
Mailing address
4006 VICTORY BLVD STE J158, PORTSMOUTH, VA 23701-2844
(757) 535-7538
(757) 544-9478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019003913
VA
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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