Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE WILSON, LMT
Active Sole ProprietorJACKIE WILSON, LMT is a Massage Therapist healthcare provider located in DENHAM SPRINGS, Louisiana. NPI 1356628325 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · DENHAM SPRINGS, LA
Registration Details
- NPI Number
- 1356628325
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 4, 2011 (14.743378505359 yrs)
- Last Updated
- Nov 4, 2011
- Licenses
-
1169 (LA)1169 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1019 N RANGE AVESUITE BDENHAM SPRINGS, LA, 707262407Browse LA providers · Browse ZIP 70726
- Phone
- 2257918154
- Fax
- 2257918152
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in DENHAM SPRINGS, LA
| Name | Credential | NPI |
|---|---|---|
| CHARLOTTE STEWART-SMITH | — | 1053714238 |
| JUNIPER SARAH ANZIVINO | LMT | 1922843713 |
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.