Individual provider · Type 1 NPI

Calvin Jackson

Massage Therapist · Monroe, WA

NPI number 1053701003 Active

Practice location

101 E Main St, Ste 201
Monroe, WA 98272-1519

Call (360) 863-0642 Map

Fax (360) 794-7236

Mailing address

PO Box 14072
Mill Creek, WA 98082-2072

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60431582 (WA)

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 1053701003

Calvin Jackson's National Provider Identifier is 1053701003, issued on Jan 29, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Monroe, WA. The record was last updated on Jan 29, 2015.