Individual provider · Type 1 NPI

Kierra Lashay Jackson

Massage Therapist · Phoenix, AZ

NPI number 1083282420 Active

Practice location

1712 E Grove St
Phoenix, AZ 85040-3339

Call (773) 503-7137 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1083282420

Kierra Lashay Jackson's National Provider Identifier is 1083282420, issued on Jun 13, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 13, 2021.