Chris Jack, PTA, MT

NPI #1992317051 in Kokomo, Indiana

Provider Information

NPI Number
1992317051
Entity Type
Individual
Name
Chris Jack, PTA, MT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
PTA, MT
Enumeration Date
Aug 20, 2020
Last Updated
Aug 20, 2020

Practice Location

Address
1781 E LINCOLN RD
City
Kokomo
State
Indiana
ZIP Code
46902-3993
Phone
(765) 455-2014

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