Individual
JASON FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4025 NE LAKEWOOD WAY, LEES SUMMIT, MO 64064-1776
(816) 598-4363
Mailing address
4025 NE LAKEWOOD WAY, LEES SUMMIT, MO 64064-1776
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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