NPI 1366853061

Jason Spoon, LMTMMP

Practitioner Massage Therapist Johnson City, TN

Practice location

Address: 2107 Hickory Springs Rd, Johnson City, TN 37604-7702
Phone: (423) 278-0387

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0000010372 (TN)

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Registry record

NPI: 1366853061
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2014
Record last updated: 15 May 2014

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.