Individual
JORDAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
424 LAURA AVE, WINCHESTER, TN 37398-1818
(931) 952-3689
Mailing address
424 LAURA AVE, WINCHESTER, TN 37398-1818
(931) 952-3689
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000011168
TN
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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