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

JACKIE EARLENE PRIMOS, LMT

Active Sole Proprietor

JACKIE EARLENE PRIMOS, LMT is a Massage Therapist healthcare provider located in MERRILLVILLE, Indiana. NPI 1861254815 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · MERRILLVILLE, IN

Registration Details

NPI Number
1861254815
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2024 (2.3624111528281 yrs)
Last Updated
Jan 25, 2024
License
MT22308074 (IN)
Sole Proprietor
Yes

Practice Information

Address
7895 BROADWAY STE D
MERRILLVILLE, IN, 464105529
Browse IN providers · Browse ZIP 46410
Phone
2194406612
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in MERRILLVILLE, IN

Name Credential NPI
BRITTANY T CARR CMT 1255882544
CATINA FIONNE RADFORD CMT 1215525415
MR. GREGORY D BUCHANAN LMT 1114638434
CAMERAN H. BATTLEY LMT 1376258368
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.