MEDICARE: LORRIE JONES L.M.T., M.M.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	2360	NV

General Provider Information

NPI Number	:	1225332224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRIE JONES L.M.T., M.M.P.

Provider Business Mailing Address
First Line	:	13475 FIELDCREEK LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-6602
Country	:	US
Telephone Number	:	775-722-5550
Fax Number	:

Provider Business Practice Location Address
First Line	:	13475 FIELDCREEK LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89511-6602
Country	:	US
Telephone Number	:	775-722-5550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2011
Last Update Date	:	01/05/2011

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