Individual
JEFFREY ALLEN PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2105 CARNES DR, SPRINGDALE, AR 72762-1536
(479) 222-0086
Mailing address
2105 CARNES DR, SPRINGDALE, AR 72762-1536
(479) 222-0086
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8976
AR
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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