Coleman Alexander Valid NPI
Individual provider · Massage Therapist · Jacksonville, AR
- NPI
- 1780321067
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- 7765 (AR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-05-17
- Last updated
- 2022-05-17
Practice location
1108 W Main St Ste B
Jacksonville, AR 72076-4486
(501) 672-4188