NPI 1013643535

Terrence Terrell Jackson

Practitioner Massage Therapist Alexandria, LA

Practice location

Address: 1240 Southampton Dr, Alexandria, LA 71303-3035
Phone: (318) 792-8400

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence LA9563 (LA)

Other Massage Therapist providers in Louisiana →

Registry record

NPI: 1013643535
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jul 2022
Record last updated: 27 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.