Individual
JACOB SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LMT
Contact information
Practice address
214 W WACKERLY ST STE 100, MIDLAND, MI 48640-2795
(989) 837-5997
Mailing address
214 W WACKERLY ST STE 100, MIDLAND, MI 48640-2795
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501016890
MI
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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