Jon David Ham, LMT

NPI #1922284520 in Fairfield, Texas

Provider Information

NPI Number
1922284520
Entity Type
Individual
Name
Jon David Ham, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jan 14, 2008
Last Updated
Jan 14, 2008

Practice Location

Address
106 N KEECHI ST
State
Texas
ZIP Code
75840-4226
Phone
(903) 391-7643

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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