Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM B JACKSON
Active Sole ProprietorKIM B JACKSON is a Massage Therapist healthcare provider located in GLEN COVE, New York. NPI 1003415464 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GLEN COVE, NY
Registration Details
- NPI Number
- 1003415464
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 18, 2020 (5.784867274865 yrs)
- Last Updated
- Oct 18, 2020
- License
-
028858 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
29 GLEN COVE AVE STE 212GLEN COVE, NY, 115422831Browse NY providers · Browse ZIP 11542
- Phone
- 5163847670
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in GLEN COVE, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARAGRITA ZAHLODINA | LMT | 1831429216 |
| JENNIFER GERST DEBEER CHARNO | — | 1528598968 |
| NICOLE LOIZIDES ALBRUZZESE | LMT | 1447852892 |
| CLAUDIA PORTILLO | — | 1437740578 |
| MISS JASMINE WHITNEY KENNERLY | LMT | 1740929470 |
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.