Individual provider · Type 1 NPI
Matthew Bryan Jackson, LMP
Massage Therapist · Seattle, WA
NPI number
1609942531
Active
Practice location
2600 SW Barton Street, Suite A24
Seattle, WA 98126
Fax (206) 453-5630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 10723 (OR) |
| Massage Therapist Primary | 225700000X | MA60423885 (WA) |
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 1609942531
Matthew Bryan Jackson, LMP's National Provider Identifier is 1609942531, issued on Nov 24, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Mar 14, 2014.