Healthcare Provider Details

I. General information

NPI: 1740116839
Provider Name (Legal Business Name): MARIA JONES
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N MAIN ST STE A
BLUFFTON OH
45817-1201
US

IV. Provider business mailing address

22394 TOWNSHIP ROAD 177
FOREST OH
45843-8914
US

V. Phone/Fax

Practice location:
  • Phone: 419-358-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.027769
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: