Amber Brooke Jackson
NPI #1265195432 in Sophia, West Virginia
Provider Information
- NPI Number
- 1265195432
- Entity Type
- Individual
- Name
- Amber Brooke Jackson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Oct 14, 2021
- Last Updated
- Oct 14, 2021
Practice Location
- Address
- 106 W MAIN ST
- City
- Sophia
- State
- West Virginia
- ZIP Code
- 25921-1627
- Phone
- (304) 894-4875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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