MEDICARE: REKHO TROY JONES

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		MN

General Provider Information

NPI Number	:	1164250619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REKHO TROY JONES

Provider Business Mailing Address
First Line	:	3647 CEDAR AVE S
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-2919
Country	:	US
Telephone Number	:	612-728-0223
Fax Number	:

Provider Business Practice Location Address
First Line	:	3032 COLUMBUS AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1514
Country	:	US
Telephone Number	:	612-369-0606
Fax Number	:

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

Provider Enumeration Date	:	07/25/2024
Last Update Date	:	07/25/2024

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Directions to “ REKHO TROY JONES ” Practice Location

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