Individual provider · Type 1 NPI

Trevor Brandon Jackson, MT

Massage Therapist · Columbia, SC

NPI number 1356003552 Active

Practice location

1631 Main St Columbia Sc
Columbia, SC 29223

Call (803) 310-2793 Map

Mailing address

8117 Springflower Road
Columbia, SC 29223

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10033 (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 1356003552

Trevor Brandon Jackson, MT's National Provider Identifier is 1356003552, issued on Oct 6, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Columbia, SC. The record was last updated on Oct 6, 2021.