Jami Lyn Irvan, LMT

NPI #1205192960 in Sikeston, Missouri

Provider Information

NPI Number: 1205192960
Entity Type: Individual
Name: Jami Lyn Irvan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 7, 2012
Last Updated: Apr 7, 2012

Practice Location

Address: 1222 LINN ST
City: Sikeston
State: Missouri
ZIP Code: 63801-3402
Phone: (573) 471-1230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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