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Mr. Jordan Wan, MT,TAINA
Massage Therapist in Roseville, Ohio
NPI 1326695495

Jordan Wan is a Massage Therapist based in Roseville, OH. Jordan Wan practices in Roseville, OH and has the professional credentials of MT,TAINA. The NPI Number for Jordan Wan is 1326695495 and holds a License No. 71847798 (Ohio).

The current practice location address for Jordan Wan is 1141 Smith Lane Ste #3, Roseville, OH and can be reached out via phone at 916-783-3003 and via fax at 916-783-4799.

Location: 1141 Smith Lane Ste #3, Roseville, OH, 95661-4123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326695495
Provider Name
Jordan Wan
Credential
MT,TAINA
Provider Entity Type
Individual
Gender
Male
Address
1141 Smith Lane Ste #3, Roseville, OH, 95661-4123
Phone Number
916-783-3003
Fax Number
916-783-4799
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1141 Smith Lane Ste #3
City
Roseville
State
Ohio
Zip
95661-4123
Phone Number
916-783-3003
Fax Number
916-783-4799
person
Provider Business Mailing Address Details
Address
1141 Smith Lane Ste #3
City
Roseville
State
Ohio
Zip
95661-4123
Phone Number
916-783-3003
Fax Number
916-783-4799
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
71847798 (California)
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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