Danyielle Jackson, LMT-NCTM
Massage Therapist in Douglasville, GA. Individual provider (NPI-1).
NPI number1679720619
StatusActive
Last updated in NPPESOct 24, 2008
Details
- NPI
- 1679720619
- Entity type
- Individual (NPI-1)
- Name
- Danyielle Jackson
- Credential
- LMT-NCTM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2008
- Last updated
- Oct 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT005209 | GA | Yes |
Practice location
323 Spring Creek WayDouglasville, GA 30134-1688
Phone 256-759-8352
Mailing address
323 Spring Creek WayDouglasville, GA 30134-1688
Phone 256-759-8352
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All 22 Massage Therapist providers in Douglasville · All 2,137 providers in Douglasville
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