Individual provider · Type 1 NPI

Alexander Jackson-Matu, LMT

Massage Therapist · Richmond, VA

NPI number 1073383204 Active

Practice location

4906 Fitzhugh Ave Ste 100
Richmond, VA 23230-3520

Mailing address

3600 W Broad St Unit 331
Richmond, VA 23230-4945

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X1261000096 (VA)

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 1073383204

Alexander Jackson-Matu, LMT's National Provider Identifier is 1073383204, issued on Jan 8, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Richmond, VA. The record was last updated on Jan 8, 2024.