Individual provider · Type 1 NPI
Kelli Jackson, LMT
Massage Therapist · Beverly, MA
NPI number
1053769851
Active
Practice location
48R Enon St.
Beverly, MA 01915-1116
Mailing address
14 Enon St, 1st Floor
Beverly, MA 01915-1116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 4166 (MA) |
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 1053769851
Kelli Jackson, LMT's National Provider Identifier is 1053769851, issued on Jun 2, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Beverly, MA. The record was last updated on Jun 2, 2016.