Anna Elizabeth Jackson, LMT

NPI #1114206232 in Tillamook, Oregon

Provider Information

NPI Number: 1114206232
Entity Type: Individual
Name: Anna Elizabeth Jackson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 7, 2011
Last Updated: Aug 7, 2011

Practice Location

Address: 309 LAUREL AVE
City: Tillamook
State: Oregon
ZIP Code: 97141-2313
Phone: (503) 842-6532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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