Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Matthew Green

Individual provider Massage Therapist · NPI 1669239117

Jordan Matthew Green is a Massage Therapist in Stilwell, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024

Practice location Address checks out

201 S 2nd St
Stilwell, OK 74960-3838
Phone: (918) 696-7220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 180477 (OK)

Record details

NPI number1669239117
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024
Mailing address363 Hidden Glen Trl, Kansas, OK 74347-9393

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