Individual provider · Type 1 NPI

Tinisha Simone Jackson, LMT

Massage Therapist · Farmington, MI

NPI number 1972106839 Active

Practice location

35357 Drakeshire Ln Apt 201
Farmington, MI 48335-3260

Call (248) 897-6724 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501010907 (MI)

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 1972106839

Tinisha Simone Jackson, LMT's National Provider Identifier is 1972106839, issued on Nov 20, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Farmington, MI. The record was last updated on Nov 20, 2020.