Individual provider · Type 1 NPI
Toni M. Jackson, NCTMB
Massage Therapist · East St. Louis, IL
NPI number
1376871103
Active
Practice location
4806 State St, Home Office
East St. Louis, IL 62205-1355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider | 171000000X | None listed |
| Rehabilitation Practitioner | 225400000X | None listed |
| Recreational Therapist Assistant | 226000000X | None listed |
| Kinesiotherapist | 226300000X | None listed |
| Massage Therapist Primary | 225700000X | 2005015267 (MO) |
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 East St. Louis
About NPI 1376871103
Toni M. Jackson, NCTMB's National Provider Identifier is 1376871103, issued on Dec 7, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in East St. Louis, IL. The record was last updated on Feb 25, 2021.