James Kimo Jandoc, OMT, LMT, STMS - Massage Therapist in Lynden, WA

James Kimo Jandoc, OMT, LMT, STMS is a Massage Therapist physician based in Lynden, Washington. James Kimo Jandoc is licensed to practice in Washington (license number MA00015681) and his current practice location is 1610 Grover St Ste C3, Lynden, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 510-4630.

NPI number for James Kimo Jandoc is 1255649869 and his current mailing address is 1668 Westview Cir, Lynden, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255649869.

Contact Information

James Kimo Jandoc, OMT, LMT, STMS
1610 Grover St Ste C3,
Lynden, WA 98264
(360) 510-4630
(360) 935-9731



Physician's Profile

Full NameJames Kimo Jandoc
GenderMale
SpecialityMassage Therapist
Location1610 Grover St Ste C3, Lynden, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255649869
  • Provider Enumeration Date: 09/16/2010
  • Last Update Date: 05/24/2018

Medical Identifiers

Medical identifiers for James Kimo Jandoc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255649869NPI-NPPES
0152465OtherWAWASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation MA00015681 (Washington)Secondary
225700000XMassage Therapist MA00015681 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Kimo Jandoc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James Kimo Jandoc, OMT, LMT, STMS
1668 Westview Cir,
Lynden, WA 98264-8578

Ph: (360) 510-4630
James Kimo Jandoc, OMT, LMT, STMS
1610 Grover St Ste C3,
Lynden, WA 98264

Ph: (360) 510-4630

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