Individual provider · Type 1 NPI
Sonni Lee Jackson, LMT
Massage Therapist · New Castle, CO
NPI number
1811466469
Active
Practice location
151 E Clubhouse Dr
New Castle, CO 81647-9424
Mailing address
171 Ute Way
Silt, CO 81652-9580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT.0011121 (CO) |
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.
About NPI 1811466469
Sonni Lee Jackson, LMT's National Provider Identifier is 1811466469, issued on Nov 13, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New Castle, CO. The record was last updated on Nov 13, 2018.