Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. ELIZABETH A JACKSON, LIC. MASSAGE THERAPI
Active Sole ProprietorMS. ELIZABETH A JACKSON, LIC. MASSAGE THERAPI is a Specialist healthcare provider located in PORTLAND, Maine. NPI 1104091784 is currently active in the NPPES registry. Verify at CMS.
Specialist · PORTLAND, ME
Registration Details
- NPI Number
- 1104091784
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2008 (18.34430454153 yrs)
- Last Updated
- Dec 8, 2008
- License
-
MT3127 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
94 AUBURN ST STE 106PORTLAND, ME, 041032141Browse ME providers · Browse ZIP 04103
- Phone
- 2078783003
- Fax
- 2078783004
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL REBECCA WARD | M.D. | 1184629883 |
| DR. BRIAN J KEROACK | MD | 1891788659 |
| DR. CHARLES D RADIS | DO | 1235122094 |
| DR. BRIAN E DAIKH | MD | 1184617953 |
| DAVID CUENOD ERNST | M.D. | 1386635308 |
| KENNETH STUART OROURKE | MD | 1972588309 |
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.