JACK M WELLS LMT
NPI 1023220860
Massage Therapist in Keizer, OR
- Individual
- Male
- Massage Therapist
About JACK WELLS
This page provides the complete NPI Profile along with additional information for Jack Wells, a provider established in Keizer, Oregon with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1023220860 assigned on May 2007. The practitioner's primary taxonomy code is 225700000X with license number 11767 (OR). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1023220860 Verify this NPI
- Provider Name
- JACK M WELLS LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4630 RIVER RD N KEIZER, OR 97303
- Location Phone
- (503) 999-8062
- Mailing Address
- 4792 LANCASTER DR NE APT 102 SALEM, OR 97305
- Mailing Phone
- (503) 999-8062
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-04-2007
- Last Update Date
- 07-12-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 11767
- License State
- OR
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023220860, enumerated as an "individual" on May 04, 2007.
The provider is located at 4630 RIVER RD N KEIZER, OR 97303 and the phone number is (503) 999-8062.
Massage Therapist with taxonomy code 225700000X.
