NPI 1063236115

Jasmine Cedra Denise Jackson

Practitioner Massage Therapist Medford, NJ

Practice location

Address: 133 Jackson Rd STE B, Medford, NJ 08055-9234
Phone: (315) 247-6523
Mailing address: 152 McKendimen Rd, Medford, NJ 08055-2017

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 18KT01507400 (NJ)

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Registry record

NPI: 1063236115
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2024
Record last updated: 14 Nov 2024

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.