Individual provider · Type 1 NPI
Denise Ann Jackson, LMT
Specialist · Palmyra, NY
NPI number
1124263710
Active
Practice location
204 E Main St
Palmyra, NY 14522-1128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 010321 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1124263710
Denise Ann Jackson, LMT's National Provider Identifier is 1124263710, issued on Dec 10, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Palmyra, NY. The record was last updated on Dec 10, 2008.