Organization
AESCULAP THERAPEUTIC & SPORTS MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA SCHMIDT-JORDAN LBMT (THERAPEUTIC MASSAGE PRACTITIONER)
(609) 771-0476
Entity
Organization
Contact information
Practice address
1901 N OLDEN AVENUE EXT, SUITE 4, EWING, NJ 08618-2111
(609) 771-0476
Mailing address
1901 N OLDEN AVENUE EXT, SUITE 4, EWING, NJ 08618-2111
(609) 771-0476
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00416500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12360257
CAQH
—
01
—
1730468687
NPI
NJ
Enumeration date
08/31/2011
Last updated
02/12/2015
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