Individual
MR. JAMES PATRICK MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
100 WEST SOUTH STREET, JASPER, AR 72641
(479) 619-9802
Mailing address
PO BOX 409, JASPER, AR 72641-0409
(479) 619-9802
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
7903
AR
225700000X
Massage Therapist
7903
AR
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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