MS. Deanna R Jackson, LMT
NPI #1386743854 in Vernon, Connecticut
Provider Information
- NPI Number
- 1386743854
- Entity Type
- Individual
- Name
- MS. Deanna R Jackson, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 243 HARTFORD TPK #202
- City
- Vernon
- State
- Connecticut
- ZIP Code
- 06066
- Phone
- (860) 875-1802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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