NPI 1003414293

Jack Weair Wooten

Practitioner Massage Therapist Nashville, TN

Practice location

Address: 2612 W Heiman St APT D38, Nashville, TN 37208-1818
Phone: (615) 686-5212

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 2212 (TN)

Other Massage Therapist providers in Tennessee →

Registry record

NPI: 1003414293
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2020
Record last updated: 12 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.