Individual
JEREMY LANDFATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1548 S US HIGHWAY 231 STE E1, OZARK, AL 36360-4516
(334) 443-0460
Mailing address
1548 S US HIGHWAY 231 STE E1, OZARK, AL 36360-4516
(334) 443-0460
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4842
AL
Other
Enumeration date
09/23/2022
Last updated
10/11/2022
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