Individual provider · Type 1 NPI
Nicole Marie Jackson, CMT
Massage Therapist · Sacramento, CA
NPI number
1124614300
Active
Practice location
4728 Monument Dr
Sacramento, CA 95842-3612
Mailing address
PO Box 188904
Sacramento, CA 95818-8904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Educator | 174H00000X | None listed |
| Massage Therapist Primary | 225700000X | 80148 (CA) |
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 1124614300
Nicole Marie Jackson, CMT's National Provider Identifier is 1124614300, issued on Dec 12, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sacramento, CA. The record was last updated on Dec 12, 2020.