Organization · Type 2 NPI
Jackie's Beauty Supply, LLC
Massage Therapist · Eugene, OR
NPI number
1487167086
Active
Practice location
485 Alexander Loop Ste 110
Eugene, OR 97401-6753
Mailing address
PO Box 21112
Eugene, OR 97402-0356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 19559 (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.
2 other providers at this address
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About NPI 1487167086
Jackie's Beauty Supply, LLC's National Provider Identifier is 1487167086, issued on Nov 6, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eugene, OR. The record was last updated on Oct 8, 2019.