Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TREVOR BRANDON JACKSON, MT
ActiveTREVOR BRANDON JACKSON, MT is a Massage Therapist healthcare provider located in COLUMBIA, South Carolina. NPI 1356003552 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · COLUMBIA, SC
Registration Details
- NPI Number
- 1356003552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2021 (4.8125039011906 yrs)
- Last Updated
- Oct 6, 2021
- License
-
10033 (SC)
Practice Information
- Address
-
1631 MAIN ST COLUMBIA SCCOLUMBIA, SC, 29223Browse SC providers · Browse ZIP 29223
- Phone
- 8033102793
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| MS. RENEE L. SHAFFER | LMT | 1588731384 |
| MR. RYAN COURTENEY HOLLIS | LMT | 1043547250 |
| MR. MARCUS STEVENSON | LMT | 1952639759 |
| MRS. JANET M. MARTIN | LMT | 1881923555 |
| MR. DAVIS LEE SCOTT II | L.M.T. | 1871824508 |
| MR. CHARLES CHRISTOPHER KELLY | L.M.T | 1366765661 |
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.