NPI 1063145258

Jason McCullough

Practitioner Massage Therapist Henderson, NV

Practice location

Address: 928 Lewis CT, Henderson, NV 89015-5753
Phone: (909) 730-9457

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence NVMT.10294 (NV)

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Registry record

NPI: 1063145258
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2022
Record last updated: 5 Jul 2022

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.