MR. MARK JACKSON, LMT
Massage Therapist
Active
Individual
NPI: 1679851240
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 54995 (FL) |
Frequently Asked Questions
NPI 1679851240 is the National Provider Identifier for MR. MARK JACKSON, LMT, a Massage Therapist provider located in Jacksonville, FL. This NPI was enumerated on July 29, 2011.
MR. MARK JACKSON, LMT practices at 12795 SAN JOSE BLVD, STE 9, Jacksonville, FL 32223.
Quick Facts
- NPI
- 1679851240
- Type
- Individual
- Enumerated
- Jul 29, 2011
- Last Updated
- Jul 29, 2011
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