Jack Justic, LMT

NPI 1548510001 · on the registry since 2012 · sole proprietor

Practice

Address: 1233 17th Ave S
Nashville, TN 37212
Phone: (615) 329-4182
Fax: (615) 327-9399
Organisation at this address: Center For Health Culture And Society
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-09-12

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