Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACKSON LEE ANDREWS, LMT
Active Sole ProprietorMassage Therapist · POWELL BUTTE, OR
Registration Details
- NPI Number
- 1003239104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2014 (12.280766196988 yrs)
- Last Updated
- Jan 24, 2014
- License
-
20031 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7380 SW REIF RDPOWELL BUTTE, OR, 977531513Browse OR providers · Browse ZIP 97753
- Phone
- 5412130491
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.