Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID EDWARD JACKSON III, C.M.T.
Active Sole ProprietorDAVID EDWARD JACKSON III, C.M.T. is a Massage Therapist healthcare provider located in LAKE STATION, Indiana. NPI 1275711350 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · LAKE STATION, IN
Registration Details
- NPI Number
- 1275711350
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2008 (18.345502489999 yrs)
- Last Updated
- Jan 31, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
3321 E 35TH AVELAKE STATION, IN, 464053016Browse IN providers · Browse ZIP 46405
- Phone
- 2197144100
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in LAKE STATION, IN
| Name | Credential | NPI |
|---|---|---|
| STEVEN SLAVO | LMT | 1396464947 |
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.