STEPHANE JACKSON, LMT, CCT

Massage Therapist

Active Individual
NPI: 1255955464

Practice Address

1770 OLD SPRING HOUSE LN STE 114
Atlanta, GA 30338

Phone: (770) 806-9048

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes MT007289 (GA)

Frequently Asked Questions

NPI 1255955464 is the National Provider Identifier for STEPHANE JACKSON, LMT, CCT, a Massage Therapist provider located in Atlanta, GA. This NPI was enumerated on June 3, 2020.
STEPHANE JACKSON, LMT, CCT practices at 1770 OLD SPRING HOUSE LN STE 114, Atlanta, GA 30338.

Quick Facts

NPI
1255955464
Type
Individual
Enumerated
Jun 3, 2020
Last Updated
Jun 3, 2020

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