Danyielle Jackson LMT-NCTM

NPI 1679720619 - Massage Therapist - 225700000X

NPI Details
NPI 1679720619
Gender Female
Enumeration Date 08/21/2008
Last Updated 10/24/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
323 SPRING CREEK WAY
DOUGLASVILLE GA, 30134-1688, US
Phone (256) 759-8352
Fax
Business Location
323 SPRING CREEK WAY
DOUGLASVILLE GA, 30134-1688, US
Phone (256) 759-8352
Fax
Toxanomy
Taxonomy Code 225700000X
License State Georgia
License Number MT005209
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According to our database, Danyielle Jackson LMT-NCTM NPI is 1679720619, taxonomy code is 225700000X and license number is MT005209, license state is located at Georgia. Danyielle Jackson LMT-NCTM physically located at 323 Spring Creek Way, Douglasville GA, 30134-1688. NPI Number Danyielle Jackson LMT-NCTM has the Individual type.

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1679720619 NPI number is provided on an as is basis without warranty of any kind. 1679720619 is maintained by the National Plan & Provider Enumeration System. The contents of Danyielle Jackson LMT-NCTM are for informational purposes only.