Individual provider · Type 1 NPI
Kodi Jackson, LMT
Massage Therapist · Cibolo, TX
NPI number
1710562863
Active
Practice location
248 Kipper Ave
Cibolo, TX 78108-4324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT127777 (TX) |
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 Cibolo
About NPI 1710562863
Kodi Jackson, LMT's National Provider Identifier is 1710562863, issued on Mar 10, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Cibolo, TX. The record was last updated on Mar 10, 2021.