Individual provider · Type 1 NPI
Kristine Jackson, MT
Massage Therapist · Blue Jay, CA
NPI number
1316783137
Active
Practice location
27169 California Highway 189,, Suite 2
Blue Jay, CA 92317
Fax (909) 323-0215
Mailing address
PO Box 2392
Lake Arrowhead, CA 92352-2392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 94145 (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.
Other massage therapist providers in Blue Jay
About NPI 1316783137
Kristine Jackson, MT's National Provider Identifier is 1316783137, issued on Jul 2, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Blue Jay, CA. The record was last updated on Jul 2, 2024.