Catherine Jackson, | |
765 Northumberland Hwy, Callao, VA 22435-2206 | |
(804) 529-5178 | |
(804) 529-5179 |
Full Name | Catherine Jackson |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 765 Northumberland Hwy, Callao, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720494081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 0019012293 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Catherine Jackson, Po Box 197, Callao, VA 22435-0197 Ph: (804) 529-5178 | Catherine Jackson, 765 Northumberland Hwy, Callao, VA 22435-2206 Ph: (804) 529-5178 |
Emily Patterson Duvall, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 Northumberland Hwy, Callao, VA 22435 Phone: 804-529-5178 Fax: 804-529-5179 | |
Mrs. D Dawn Hale, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 Northumberland Hwy, Callao, VA 22435 Phone: 804-529-5178 Fax: 804-529-5179 |