Individual provider · Type 1 NPI

Travis Edward Jackson, LMT

Massage Therapist · Burien, WA

NPI number 1174038368 Active

Practice location

427 SW 152nd St Unit C
Burien, WA 98166-2208

Call (206) 787-0502 Map

Fax (206) 787-0502

Mailing address

21609 6th Ave S
Normandy Park, WA 98198-6114

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60689794 (WA)

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 1174038368

Travis Edward Jackson, LMT's National Provider Identifier is 1174038368, issued on Dec 10, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burien, WA. The record was last updated on Dec 10, 2017.