Individual
JAKE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.M.T
Contact information
Practice address
972 MONTCLAIR RD, BIRMINGHAM, AL 35213-1204
(205) 957-5445
Mailing address
972 MONTCLAIR RD, BIRMINGHAM, AL 35213-1204
(205) 957-5445
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6470
AL
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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