JORDAN HERNDON LMT NPI 1063992444

NPI Information

NPI: 1063992444
Provider Name: JORDAN HERNDON, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7731 E NORTHERN LIGHTS BLVD STE 220
ANCHORAGE, AK
ZIP 99504
Phone: (907) 280-9991
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Jordan Herndon, LMT is a massage therapist in Anchorage, AK. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Jordan Herndon, LMT NPI is 1063992444. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7731 E NORTHERN LIGHTS BLVD STE 220
ANCHORAGE, AK
ZIP 99504-572
Phone: (907) 280-9991

The enumeration date for this NPI number is 8/15/2018 and was last updated on 8/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		121843	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	121843	OTHER	ALASKA	AK LMT LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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