person
Mr. Joseph Edward Jarrell JR., LMT
Massage Therapist in Charleston, West Virginia
NPI 1366566754

Joseph Edward Jarrell JR. is a Massage Therapist based in Charleston, WV. Joseph Edward Jarrell JR. practices in Charleston, WV and has the professional credentials of LMT. The NPI Number for Joseph Edward Jarrell JR. is 1366566754 and holds a License No. 20062167 (West Virginia).

The current practice location address for Joseph Edward Jarrell JR. is 5402 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-395-3865.

Location: 5402 Maccorkle Ave Se, Charleston, WV, 25304-2224
person
Provider Profile Details
NPI Number
1366566754
Provider Name
Joseph Edward Jarrell JR.
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
5402 Maccorkle Ave Se, Charleston, WV, 25304-2224
Phone Number
304-395-3865
Fax Number
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00182342 01 WV BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5402 Maccorkle Ave Se
City
State
Zip
25304-2224
Phone Number
304-395-3865
Fax Number
person
Provider Business Mailing Address Details
Address
5402 Maccorkle Ave Se
City
State
Zip
25304-2224
Phone Number
304-395-3865
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
20062167 ()
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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