Tamara M Jackson, LMT
Massage Therapist in Pensacola, FL. Individual provider (NPI-1).
NPI number1104660331
StatusActive
Last updated in NPPESJun 21, 2024
Details
- NPI
- 1104660331
- Entity type
- Individual (NPI-1)
- Name
- Tamara M Jackson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2024
- Certification date
- Jun 21, 2024
- Last updated
- Jun 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA53569 | FL | Yes |
Practice location
4300 Bayou Blvd Ste 9Pensacola, FL 32503-2671
Phone 850-876-0820
Mailing address
4300 Bayou Blvd Ste 9Pensacola, FL 32503-2671
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