Individual
JORDAN BLAIR THOMAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
12 W WENGER RD, ENGLEWOOD, OH 45322-2754
(937) 604-4115
Mailing address
1526 NEWTON AVE, DAYTON, OH 45406-4257
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.027279
OH
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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