SHANETTE JACKSON
Massage Therapist
Active
Individual
NPI: 1073045050
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 128047 (AK) |
Frequently Asked Questions
NPI 1073045050 is the National Provider Identifier for SHANETTE JACKSON, a Massage Therapist provider located in Kenai, AK. This NPI was enumerated on March 30, 2017.
SHANETTE JACKSON practices at 602 FRONTAGE ROAD, STE.206, Kenai, AK 99611.
Quick Facts
- NPI
- 1073045050
- Type
- Individual
- Enumerated
- Mar 30, 2017
- Last Updated
- Apr 15, 2025
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