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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 1261000096 (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.