NPI 1386743854

Deanna R Jackson, LMT

Practitioner Massage Therapist Vernon, CT

Practice location

Address: 243 Hartford Tpk #202, Vernon, CT 06066
Phone: (860) 875-1802
Mailing address: PO Box 586, Vernon, CT 06066-0586

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 000482 (CT)

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Registry record

NPI: 1386743854
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2006
Record last updated: 8 Jul 2007

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.