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Jack Wooten
NPI 1003414293 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2612 W Heiman St Apt D38
Nashville, TN 37208 - Phone
- (615) 686-5212
Additional practice sites
- 2612 W Heiman St, Nashville, TN
- 2612 W Heiman St Apt D38, Nashville, TN
- 2612 W Heiman St Apt D38, Nashville, TN
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee