Nicki Angelyn Jackson, LMT

NPI #1164241345 in Oak Park, California

Provider Information

NPI Number: 1164241345
Entity Type: Individual
Name: Nicki Angelyn Jackson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 7, 2024
Last Updated: Oct 7, 2024

Practice Location

Address: 5816 FREEBIRD LN UNIT 108
City: Oak Park
State: California
ZIP Code: 91377-5635
Phone: (310) 600-8163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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