Individual provider · Type 1 NPI

Theresa Jackson

Massage Therapist · Minneapolis, MN

NPI number 1093280422 Active

Practice location

3647 Cedar Ave S
Minneapolis, MN 55407-2919

Call (612) 728-0223 Map

Mailing address

10820 S Shore Dr Apt 13
Plymouth, MN 55441-4970

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 1093280422

Theresa Jackson's National Provider Identifier is 1093280422, issued on Oct 12, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 12, 2018.