Individual
JESSICA DAWN PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1410 ALDON ST, FOLEY, AL 36535-3607
(360) 977-3755
Mailing address
1410 ALDON ST, FOLEY, AL 36535-3607
(360) 977-3755
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6044
AL
172M00000X
Mechanotherapist
MA00017753
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6044
MASSAGE THERAPIST
AL
01
—
MA00017753
MASSAGE PRACTITIONER
WA
Enumeration date
10/31/2008
Last updated
10/21/2022
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