Denise Ann Jackson, LMT

NPI #1124263710 in Palmyra, New York

Provider Information

NPI Number: 1124263710
Entity Type: Individual
Name: Denise Ann Jackson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Dec 10, 2008
Last Updated: Dec 10, 2008

Practice Location

Address: 204 E MAIN ST
City: Palmyra
State: New York
ZIP Code: 14522-1128
Phone: (315) 597-5518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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