Individual
JEFFREY IRWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CSCS
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
7248085872
SC
225700000X
Massage Therapist
Primary
11672
SC
Other
Enumeration date
05/15/2019
Last updated
07/20/2026
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