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Phyllis V Jordan, LMT,RMP
Massage Therapist in Frederick, Maryland
NPI 1962007096

Phyllis V Jordan is a Massage Therapist based in Brunswick, MD. Phyllis V Jordan practices in Frederick, MD and has the professional credentials of LMT,RMP. The NPI Number for Phyllis V Jordan is 1962007096 and holds a License No. 0019015415 (Maryland).

The current practice location address for Phyllis V Jordan is 263 W Patrick St, Frederick, MD and can be reached out via phone at 301-388-5237.

Location: 263 W Patrick St, Frederick, MD, 21716-1473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962007096
Provider Name
Phyllis V Jordan
Credential
LMT,RMP
Provider Entity Type
Individual
Gender
Female
Address
263 W Patrick St, Frederick, MD, 21716-1473
Phone Number
301-388-5237
Fax Number
Provider Enumeration Date
12/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 W Patrick St
City
Frederick
State
Maryland
Zip
21701-6910
Phone Number
301-388-5237
Fax Number
person
Provider Business Mailing Address Details
Address
263 W Patrick St
City
Frederick
State
Maryland
Zip
21701-6910
Phone Number
301-388-5237
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0019015415 (Virginia)
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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