Amber Brooke Jackson, is a
Massage Therapist based in Sophia, West Virginia. Amber Brooke Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
106 W Main St, Sophia, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 894-4875.
NPI number for Amber Brooke Jackson is 1265195432 and her current mailing address is Po Box 155, Midway, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265195432.
Healthcare Provider's Profile
| Full Name | Amber Brooke Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 106 W Main St, Sophia, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265195432
- Provider Enumeration Date: 10/14/2021
- Last Update Date: 10/14/2021
Medical Identifiers
Medical identifiers for Amber Brooke Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265195432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | (* (Not Available)) | 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. Amber Brooke 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 Address | Practice Location Address |
|---|
Amber Brooke Jackson,
Po Box 155,
Midway, WV 25878-0155
Ph: (304) 894-4875 | Amber Brooke Jackson,
106 W Main St,
Sophia, WV 25921-1627
Ph: (304) 894-4875 |
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