Jason Douglas Mcclintock, LMT

NPI #1891025979 in Bayfield, Colorado

Provider Information

NPI Number: 1891025979
Entity Type: Individual
Name: Jason Douglas Mcclintock, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 12, 2010
Last Updated: Jan 12, 2010

Practice Location

Address: 85 W. MILL STREET
City: Bayfield
State: Colorado
ZIP Code: 81122
Phone: (970) 769-5320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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