Jacob Jon Henness, LMT MA
Massage Therapist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1407985393
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407985393
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jacob Jon Henness
- Credential
- LMT MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT04134 | AZ | Yes |
Other names
- Jacob Jon Henness (Other Name)
Practice location
3543 N 7 StPhoenix, AZ 85014
Phone 602-263-8484 · Fax 602-263-3697
Mailing address
5638 W GlenrosaPhoenix, AZ 85031
Phone 623-247-9621
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