Montrell Nigel Jackson, LMT,MTI,CPE
Massage Therapist in Houston, TX. Individual provider (NPI-1).
NPI number1194367243
StatusActive
Last updated in NPPESOct 10, 2019
Details
- NPI
- 1194367243
- Entity type
- Individual (NPI-1)
- Name
- Montrell Nigel Jackson
- Credential
- LMT,MTI,CPE
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2019
- Last updated
- Oct 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT119368 | TX | Yes |
Practice location
5959 Fm 1960 Rd W Apt 1136Houston, TX 77069-4122
Phone 713-876-9034
Mailing address
5959 Fm 1960 Rd W Apt 1136Houston, TX 77069-4122
Phone 713-876-9034
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