| Mr Jack Paul Rodriguez, LICENSED MASSAGE THE | |
|
3045 Jacks Run Road, Chiropractic Offices-consales Health Center, White Oak, PA 15131 | |
| (412) 678-9123 | |
| (412) 678-9127 |
| Full Name | Mr Jack Paul Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 3045 Jacks Run Road, White Oak, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205196532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MSG004871 (Pennsylvania) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Paul Rodriguez, LICENSED MASSAGE THE 3787 Kelly Hollow Road, Monongahela, PA 15063-4522 Ph: (724) 258-4966 | Mr Jack Paul Rodriguez, LICENSED MASSAGE THE 3045 Jacks Run Road, Chiropractic Offices-consales Health Center, White Oak, PA 15131 Ph: (412) 678-9123 |
Jason Edward Thornton, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3025 Jacks Run Rd Ste 5, White Oak, PA 15131 Phone: 412-437-8244 |