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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X9341 (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.