Individual provider · Type 1 NPI

Ebony Jade Jackson, LMT

Massage Therapist · Sumter, SC

NPI number 1295575355 Active

Practice location

245 Kingsbury Dr
Sumter, SC 29150-7547

Call (803) 406-3001 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10030 (SC)

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 1295575355

Ebony Jade Jackson, LMT's National Provider Identifier is 1295575355, issued on May 28, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sumter, SC. The record was last updated on May 28, 2024.