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

NATHANAEL ROSS JACKSON, L.M.P.

Active

NATHANAEL ROSS JACKSON, L.M.P. is a Massage Therapist healthcare provider located in NAPAVINE, Washington. NPI 1366734758 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · NAPAVINE, WA

Registration Details

NPI Number
1366734758
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2011 (15.136527284273 yrs)
Last Updated
May 4, 2011
License
MA60208070 (WA)

Practice Information

Address
355 LINHART AVE NE
NAPAVINE, WA, 98565
Browse WA providers · Browse ZIP 98565
Phone
3602668800
Fax
3602668700
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in NAPAVINE, WA

Name Credential NPI
MRS. RHONDA JO O'BRIEN-FARRAR LMP 1477860781
LORI L CICHOSZ LMP 1164975157
SHYANNA MARIE LOWERY 1285393124
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.