Individual provider · Type 1 NPI
Jessica Ann Jackson, L.M.T
Massage Therapist · Clackamas, OR
NPI number
1033370101
Active
Practice location
13131 SE 125th Ave
Clackamas, OR 97015-9324
Mailing address
10728 SE Sunnyside Rd
Clackamas, OR 97015-9781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 9341 (OR) |
Massage Therapist: 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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About NPI 1033370101
Jessica Ann Jackson, L.M.T's National Provider Identifier is 1033370101, issued on Jun 22, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clackamas, OR. The record was last updated on Jul 12, 2010.