Theresa Y Jackson in Jacksonville - Massage Therapist
Theresa Y Jackson - NPI 1841486289
Theresa Y Jackson is a Massage Therapist in Jacksonville, Florida. Theresa Y Jackson practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Theresa Y Jackson is 1841486289. The last update date is 2007-09-19.
Theresa Y Jackson's current location address is 1803 Boulevard, Jacksonville, Florida. You can contact this provider via phone number 9047661484 and fax number 9042366187. The mailing address for Theresa Y Jackson is 1803 Boulevard, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Y Jackson |
|---|---|
| Address | 1803 Boulevard, Jacksonville, Florida |
| Phone Number | 9047661484 |
| Fax Number | 9042366187 |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1841486289 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2007-09-19 |
Provider Mailing Address Detail
| Address | 1803 Boulevard |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322064342 |
| Phone Number | 9047661484 |
| Fax Number | 9042366187 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA48068 |
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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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Post Comment/ Review Below
What is the Theresa Y Jackson's 1841486289?
The Theresa Y Jackson's NPI (National Provider Identifier) Number is 1841486289. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Theresa Y Jackson?
The Theresa Y Jackson is situated at 1803 Boulevard, in the city of Jacksonville, state of FL, with the zip code 322064342.
What is the Theresa Y Jackson's specialty and taxonomy code?
The Theresa Y Jackson's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1841486289 to Theresa Y Jackson?
The Centers for Medicare & Medicaid Services assigned the 1841486289 to Theresa Y Jackson on 2007-09-19.
As of what date were the Theresa Y Jackson's details last updated?
The information pertaining to the Theresa Y Jackson, including its address, specialty, and other details, was most recently updated on 2007-09-19.
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