Individual provider · Type 1 NPI

Lani Jackson, CMT

Massage Therapist · Laramie, WY

NPI number 1720519432 Active

Practice location

807 S 3rd St
Laramie, WY 82070-4419

Mailing address

1659 N 4th St, Apt 7
Laramie, WY 82072-3179

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1720519432

Lani Jackson, CMT's National Provider Identifier is 1720519432, issued on Mar 23, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Laramie, WY. The record was last updated on Mar 23, 2017.