Matthew B Jefferson, MASSAGE THERAPIST

NPI #1952052490 in Mc Lean, Virginia

Provider Information

NPI Number: 1952052490
Entity Type: Individual
Name: Matthew B Jefferson, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MASSAGE THERAPIST
Enumeration Date: Jan 17, 2022
Last Updated: Jan 17, 2022

Practice Location

Address: 8347A GREENSBORO DR
City: Mc Lean
State: Virginia
ZIP Code: 22102-3530
Phone: (571) 888-5193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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