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Mr. Jack Percy Dillender II, LMT
Massage Therapist in Columbia, Missouri
NPI 1881828762

Jack Percy Dillender II is a Massage Therapist based in Columbia, MO. Jack Percy Dillender II practices in Columbia, MO and has the professional credentials of LMT. The NPI Number for Jack Percy Dillender II is 1881828762 and holds a License No. 2002028196 (Missouri).

The current practice location address for Jack Percy Dillender II is 709 Manor Dr, Columbia, MO and can be reached out via phone at 573-814-1418. You can also correspond with Jack Percy Dillender II through the mailing address at 709 MANOR DR, COLUMBIA, MO - 65203-1737 (mailing address contact number: 573-814-1418).

Location: 709 Manor Dr, Columbia, MO, 65203-1737
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Provider Profile Details
NPI Number
1881828762
Provider Name
Jack Percy Dillender II
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
709 Manor Dr, Columbia, MO, 65203-1737
Phone Number
573-814-1418
Fax Number
Provider Enumeration Date
05/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2002028196 01 MO MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
709 Manor Dr
City
State
Zip
65203-1737
Phone Number
573-814-1418
Fax Number
person
Provider Business Mailing Address Details
Address
709 Manor Dr
City
State
Zip
65203-1737
Phone Number
573-814-1418
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
2002028196 (Missouri)
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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