Individual
JASON SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, MMP
Contact information
Practice address
2107 HICKORY SPRINGS RD, JOHNSON CITY, TN 37604-7702
(423) 278-0387
Mailing address
2107 HICKORY SPRINGS RD, JOHNSON CITY, TN 37604-7702
(423) 278-0387
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000010372
TN
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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