Martha Sue Jackson, L.M.T.
NPI #1386862605 in Charleston, West Virginia
Provider Information
- NPI Number
- 1386862605
- Entity Type
- Individual
- Name
- Martha Sue Jackson, L.M.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- L.M.T.
- Enumeration Date
- Apr 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 888 OAKWOOD RD
- Address 2
- SUITE 220
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25314-2000
- Phone
- (304) 550-9724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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