JORDAN LEE KANE LMT - NPI 1386418119 - Massage Therapist in Prescott, AZ

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Jordan Lee Kane Lmt NPPES

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

JORDAN LEE KANE LMT (NPI 1386418119) is an individual massage therapist in Prescott, Arizona, licensed in Arizona (MT-29426) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1386418119

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameJORDAN LEE KANECredential: LMT

Location Address172 E MERRITT ST STE CPrescott, AZ 86301-2027

Mailing Address172 E Merritt St Ste CPrescott, AZ 86301-2027 · (928) 642-5382

Phone(928) 642-5382

Sole ProprietorYes

Enumeration DateNovember 13, 2023

NPPES CertifiedNovember 13, 2023

✔ NPI 1386418119 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 AZ · MT-29426

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.

172 E MERRITT ST STE C, Prescott, AZ 86301

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