Individual
JAY GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 S 3RD ST B, OZARK, MO 65721
(417) 299-4605
Mailing address
1005 PARKWAY DR UNIT B, CABOOL, MO 65689-7430
(417) 551-2202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2021016011
MO
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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