Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANNETTE JACKS
Active Sole ProprietorMassage Therapist · PLACITAS, NM
Registration Details
- NPI Number
- 1508209404
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2013 (13.03093449892 yrs)
- Last Updated
- Oct 30, 2013
- License
-
7545 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3 HOMESTEADS RD STE DPLACITAS, NM, 870439229Browse NM providers · Browse ZIP 87043
- Phone
- 9709032213
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in PLACITAS, NM
| Name | Credential | NPI |
|---|---|---|
| ERIKA ANNE ABERG | LMT | 1982928941 |
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.