Ebony Jade Jackson, LMT

NPI #1295575355 in Sumter, South Carolina

Provider Information

NPI Number: 1295575355
Entity Type: Individual
Name: Ebony Jade Jackson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 28, 2024
Last Updated: May 28, 2024

Practice Location

Address: 245 KINGSBURY DR
City: Sumter
State: South Carolina
ZIP Code: 29150-7547
Phone: (803) 406-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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