Mr. Jacob Edward Gough
Mr. Jacob Edward Gough is a Massage Therapist in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2016.
- Licensed in
- DC
- In the registry since
- 2016
Practice location Address checks out
1330 U St NW #300Washington, DC 20009-7991
Phone: (202) 888-5595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MT1418 (DC) |
|---|
Record details
| NPI number | 1073067765 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 10, 2016 |
| Last updated in NPPES | August 10, 2016 |
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