Individual provider · Type 1 NPI

Maria Teresa Jackson, LMT

Massage Therapist · Las Vegas, NV

NPI number 1104055318 Active

Practice location

7455 Washington Street, 210
Las Vegas, NV 89128

Mailing address

929 Allure Dr
Las Vegas, NV 89128-2024

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2026 (NV)

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 1104055318

Maria Teresa Jackson, LMT's National Provider Identifier is 1104055318, issued on Jul 9, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Las Vegas, NV. The record was last updated on Dec 7, 2009.