Kimberly Stewart Jackson in Gray - Massage Therapist

Kimberly Stewart Jackson - NPI 1548432586

Kimberly Stewart Jackson is a Massage Therapist in Gray, Georgia. Kimberly Stewart Jackson practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Kimberly Stewart Jackson is 1548432586. The last update date is 2008-03-31.

Kimberly Stewart Jackson's current location address is Po Box 1726, Gray, Georgia. You can contact this provider via phone number 4789860484 and fax number 4789860486. The mailing address for Kimberly Stewart Jackson is Po Box 1726, Gray, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Stewart Jackson
Address Po Box 1726, Gray, Georgia
Phone Number 4789860484
Fax Number 4789860486
Sole Proprietor Y
Credentials LMT

NPI Number Detail

NPI Number 1548432586
Provider Enumeration Date 2008-03-31
Last Updated Date 2008-03-31

Provider Mailing Address Detail

Address Po Box 1726
City Gray
State Georgia (GA)
Post Code 310321726
Phone Number 4789860484
Fax Number 4789860486

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MT001628
Definition:
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.

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FAQs about Kimberly Stewart Jackson

What is the Kimberly Stewart Jackson's unique identification number?

The Kimberly Stewart Jackson has been assigned the NPI (National Provider Identifier) Number 1548432586 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kimberly Stewart Jackson is geographically located?

The Kimberly Stewart Jackson is physically situated at the following location: Po Box 1726, Gray, GA, 310321726.

What is Kimberly Stewart Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kimberly Stewart Jackson is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.

On what date was the 1548432586 assigned to Kimberly Stewart Jackson?

The Kimberly Stewart Jackson was issued its 1548432586 on 2008-03-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Kimberly Stewart Jackson's information last updated?

The Kimberly Stewart Jackson's information was last updated on 2008-03-31.

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