Jessica Jackson, LMT | |
1721 Black River Blvd N, Rome, NY 13440-2447 | |
(315) 886-2200 | |
Not Available |
Full Name | Jessica Jackson |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 1721 Black River Blvd N, Rome, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174247720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 021088 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jessica Jackson, LMT 1721 Black River Blvd N, Rome, NY 13440-2447 Ph: (315) 886-2200 | Jessica Jackson, LMT 1721 Black River Blvd N, Rome, NY 13440-2447 Ph: (315) 886-2200 |
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