Individual
JORDAN KYLE JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 MID LN APT 254, HOUSTON, TX 77027-3859
(281) 624-8412
Mailing address
2121 MID LN APT 254, HOUSTON, TX 77027-3859
(281) 624-8412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT134775
TX
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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