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JACK WEAIR WOOTEN JR.
NPI 1003414293
Massage Therapist in Nashville, TN

Active since October 12, 2020
2612 W HEIMAN ST APT D38, NASHVILLE, TN 37208(615) 686-5212 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack Weair Wooten Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK WEAIR WOOTEN JR. (NPI 1003414293) is an individual massage therapist in Nashville, Tennessee, licensed in Tennessee (2212) and active in the NPI registry since October 2020. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003414293
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJACK WEAIR WOOTEN JR.
Location Address2612 W HEIMAN ST APT D38Nashville, TN 37208-1818
Mailing Address2612 W Heiman St Apt D38Nashville, TN 37208-1818 · (615) 686-5212
Phone(615) 686-5212
Sole ProprietorYes
Enumeration DateOctober 12, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1003414293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in TN · 2212
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2612 W HEIMAN ST APT D38, Nashville, TN 37208
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Secondary Practice Locations 2

Location 12612 W Heiman St, Apt 38DNashville, TN 37208
Location 22612 W Heiman St Apt D38Nashville, TN 37208-1818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wooten's NPI number?

The NPI number for Jack Wooten is 1003414293. It was assigned to this individual provider in the NPPES registry on October 12, 2020.

Where is Jack Wooten located?

Jack Wooten practices at 2612 W Heiman St Apt D38, Nashville, TN 37208. The listed phone number is (615) 686-5212.

What is Jack Wooten's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jack Wooten was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.