NPI 1396054391

Jennifer Lynn Jackson, LMT

Practitioner Massage Therapist Holladay, UT

Practice location

Address: 2180 E 4500 S Suite 190, Holladay, UT 84117-4434
Phone: (801) 554-7991

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 356148-4701 (UT)

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Registry record

NPI: 1396054391
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2010
Record last updated: 25 Jan 2012

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.