Individual provider · Type 1 NPI

Karl Dwight Jackson, LMT

Massage Therapist · Bend, OR

NPI number 1326481383 Active

Practice location

39 NW Louisiana Ave
Bend, OR 97701-3310

Call (541) 330-0334 Map

Mailing address

62610 Waugh Rd
Bend, OR 97701-9782

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X6399 (OR)

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 1326481383

Karl Dwight Jackson, LMT's National Provider Identifier is 1326481383, issued on Apr 9, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Apr 9, 2013.