Individual
JESSICA BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MBA
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
11499140-4701
UT
173C00000X
Reflexologist
11499140-4701
UT
208VP0000X
Pain Medicine Physician
11499140-4701
UT
225700000X
Massage Therapist
Primary
11499140-4701
UT
226300000X
Kinesiotherapist
11499140-4701
UT
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
Update your record
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