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Jack M Wells, LMT
Massage Therapist in Keizer, Oregon
NPI 1023220860

Jack M Wells is a Massage Therapist based in Salem, OR. Jack M Wells practices in Keizer, OR and has the professional credentials of LMT. The NPI Number for Jack M Wells is 1023220860 and holds a License No. 11767 (Oregon).

The current practice location address for Jack M Wells is 4630 River Rd N, Keizer, OR and can be reached out via phone at 503-999-8062.

Location: 4630 River Rd N, Keizer, OR, 97305-1747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023220860
Provider Name
Jack M Wells
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
4630 River Rd N, Keizer, OR, 97305-1747
Phone Number
503-999-8062
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4630 River Rd N
City
Keizer
State
Oregon
Zip
97303-4648
Phone Number
503-999-8062
Fax Number
person
Provider Business Mailing Address Details
Address
4630 River Rd N
City
Keizer
State
Oregon
Zip
97303-4648
Phone Number
503-999-8062
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11767 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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