Individual
MR. JACK PAUL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED MASSAGE THE
Contact information
Practice address
3045 JACKS RUN ROAD, CHIROPRACTIC OFFICES-CONSALES HEALTH CENTER, WHITE OAK, PA 15131
(412) 678-9123
(412) 678-9127
Mailing address
3787 KELLY HOLLOW ROAD, MONONGAHELA, PA 15063-4522
(724) 258-4966
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG004871
PA
225700000X
Massage Therapist
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Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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