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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA45132 (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.