Individual provider · Type 1 NPI
Lisa Jackson, LMT, PT, AS, CHHC
Massage Therapist · Gainesville, FL
NPI number
1992023030
Active
Practice location
7200 SW 8th Ave Apt 9
Gainesville, FL 32607-1883
Mailing address
7200 SW 8th Ave # B-9
Gainesville, FL 32607-1888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA45132 (FL) |
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 1992023030
Lisa Jackson, LMT, PT, AS, CHHC's National Provider Identifier is 1992023030, issued on May 13, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gainesville, FL. The record was last updated on Nov 23, 2011.