MRS. Holli Cheree Jackson, ATC, LMT, CES, PES

NPI #1598289233 in Caldwell, Idaho

Provider Information

NPI Number: 1598289233
Entity Type: Individual
Name: MRS. Holli Cheree Jackson, ATC, LMT, CES, PES
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: ATC, LMT, CES, PES
Enumeration Date: Aug 2, 2017
Last Updated: Mar 29, 2023

Practice Location

Address: 5109 BLUESTEM WAY
City: Caldwell
State: Idaho
ZIP Code: 83607-5557
Phone: (208) 964-9504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Massage Therapist	225700000X	Primary

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