Individual
MRS. JODY FORCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMT
Contact information
Practice address
1120 S WALTON BLVD STE 104, BENTONVILLE, AR 72712-0075
(479) 271-8300
Mailing address
1907 S 9TH ST APT 213, ROGERS, AR 72758-6327
(794) 295-1206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6561
AR
Other
Enumeration date
09/01/2010
Last updated
01/28/2019
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