Miss Ida Olivia Jackson, LAC, LMT - Acupuncturist in Kirkwood, MO

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Miss Ida Olivia Jackson, LAC, LMT is a Acupuncturist based in Kirkwood, Missouri. Miss Ida Olivia Jackson is licensed to practice in Missouri (license number 2013032932) and her current practice location is 103 N Taylor Ave, Suite B, Kirkwood, Missouri. She can be reached at her office (for appointments etc.) via phone at (314) 623-2302.

NPI number for Miss Ida Olivia Jackson is 1184022659 and her current mailing address is 103 N Taylor Ave, Suite B, Kirkwood, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184022659.

Contact Information

Miss Ida Olivia Jackson, LAC, LMT
103 N Taylor Ave, Suite B,
Kirkwood, MO 63122-4360
(314) 623-2302
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMiss Ida Olivia Jackson
GenderFemale
SpecialityAcupuncturist
Location103 N Taylor Ave, Kirkwood, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184022659
  • Provider Enumeration Date: 12/15/2014
  • Last Update Date: 12/15/2014

Medical Identifiers

Medical identifiers for Miss Ida Olivia Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184022659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist 2013032932 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Ida Olivia Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Ida Olivia Jackson, LAC, LMT
103 N Taylor Ave, Suite B,
Kirkwood, MO 63122-4360

Ph: (314) 623-2302		Miss Ida Olivia Jackson, LAC, LMT
103 N Taylor Ave, Suite B,
Kirkwood, MO 63122-4360

Ph: (314) 623-2302

Reviews and Comments


Acupuncturist in Kirkwood, MO


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