Individual
JOHN FREDERICK SPACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
947 S OHIO AVE, COLUMBUS, OH 43206-1531
(614) 252-9345
Mailing address
947 S OHIO AVE, COLUMBUS, OH 43206-1531
(614) 252-9345
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.004133
OH
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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