NPI 1134736275

Denise Jackson, LMT

Practitioner Massage Therapist Anderson, SC

Practice location

Address: 102 Arborwood Dr, Anderson, SC 29621-5865
Phone: (864) 608-6929

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 8702 (SC)

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Registry record

NPI: 1134736275
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2020
Record last updated: 23 Sep 2020

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.