Tiffany C. Jackson, LMT

NPI #1619289212 in Pleasant Grove, Utah

Provider Information

NPI Number: 1619289212
Entity Type: Individual
Name: Tiffany C. Jackson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 12, 2010
Last Updated: Aug 3, 2022

Practice Location

Address: 140 S MAIN ST #3
City: Pleasant Grove
State: Utah
ZIP Code: 84062-3560
Phone: (801) 899-3904

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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