Regina Jackson
Massage Therapist in Aurora, CO. Individual provider (NPI-1).
NPI number1699005686
StatusActive
Last updated in NPPESJan 13, 2010
Details
- NPI
- 1699005686
- Entity type
- Individual (NPI-1)
- Name
- Regina Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2010
- Last updated
- Jan 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 7733 | CO | Yes |
Practice location
3571 S Tower Rd Unit AAurora, CO 80013-5704
Phone 303-400-4545 · Fax 303-400-8787
Mailing address
3571 S Tower Rd Unit AAurora, CO 80013-5704
Phone 303-400-4545 · Fax 303-400-8787
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