Individual
JORDAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1950 S GLENSTONE AVE STE F, SPRINGFIELD, MO 65804-2353
(417) 860-6116
Mailing address
2720 W CHEROKEE ST, SPRINGFIELD, MO 65807-7600
(417) 860-6116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2019035717
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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