NPI 1154945129

Jenna L. Jackson

Practitioner Massage Therapist Brunswick, GA

Practice location

Address: 1608 Reynolds St, Brunswick, GA 31520-6731
Phone: (912) 261-8906
Mailing address: 148 Leeswood Cir, Brunswick, GA 31525-2496

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT006258 (GA)

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Registry record

NPI: 1154945129
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jun 2020
Record last updated: 4 Jun 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.