DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTINE JACKSON, MT

Active Sole Proprietor

KRISTINE JACKSON, MT is a Massage Therapist healthcare provider located in BLUE JAY, California. NPI 1316783137 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · BLUE JAY, CA

Registration Details

NPI Number
1316783137
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2024 (1.9732642729495 yrs)
Last Updated
Jul 2, 2024
License
94145 (CA)
Sole Proprietor
Yes

Practice Information

Address
27169 CALIFORNIA HIGHWAY 189,
SUITE 2
BLUE JAY, CA, 92317
Browse CA providers · Browse ZIP 92317
Phone
9094869705
Fax
9093230215
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in BLUE JAY, CA

Name Credential NPI
ERIKA EICKMAN CMT, NMT 1487292132
MRS. LISA ANN REAVLEY LMT 1912545658
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.