Individual provider · Type 1 NPI

Corrine R. Jackson, LMT

Massage Therapist · Buffalo, NY

NPI number 1952187882 Active

Practice location

40 N Forest Rd
Buffalo, NY 14221-5230

Call (716) 235-1338 Map

Mailing address

23 New Southgate Rd Lowr
Buffalo, NY 14215-1809

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X030743 (NY)

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 1952187882

Corrine R. Jackson, LMT's National Provider Identifier is 1952187882, issued on Sep 6, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Buffalo, NY. The record was last updated on May 8, 2025.