DANYIELLE JACKSON, LMT-NCTM
Massage Therapist
Active
Individual
NPI: 1679720619
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | MT005209 (GA) |
Frequently Asked Questions
NPI 1679720619 is the National Provider Identifier for DANYIELLE JACKSON, LMT-NCTM, a Massage Therapist provider located in Douglasville, GA. This NPI was enumerated on August 21, 2008.
DANYIELLE JACKSON, LMT-NCTM practices at 323 SPRING CREEK WAY, Douglasville, GA 30134.
Quick Facts
- NPI
- 1679720619
- Type
- Individual
- Enumerated
- Aug 21, 2008
- Last Updated
- Oct 24, 2008
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