NPIRadar

Cristina Ann Jackson, L.M.T. Valid NPI

Individual provider · Massage Therapist · Fort Walton Beach, FL

NPI
1417131269
Type
Individual (Type 1)
Primary specialty
Massage Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225700000X
License number
MA49020 (FL)
Sex
Female
Sole proprietor
Yes
Enumerated
2007-12-28
Last updated
2008-01-26
Practice location
112 Pinewood Ter
Fort Walton Beach, FL 32548-6328
(850) 496-7602

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Cristina Ann Jackson, L.M.T. — NPI 1417131269