-- JACK C CALVERT -- LMP
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1780020222- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMP
- Status
- Active
Contact & Location
- Address
- 155 N ELY ST, KENNEWICK, WA, 993362941
- Phone
- (509) 735-6479
Specialties & Taxonomies
Massage Therapist
Primary License: WA #MA60337092