Kimberly Renee Jackson, LMT

NPI #1639535719 in Coppell, Texas

Provider Information

NPI Number: 1639535719
Entity Type: Individual
Name: Kimberly Renee Jackson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jan 5, 2016
Last Updated: Jan 6, 2017

Practice Location

Address: 9175 CYPRESS WATERS BLVD APT 102
City: Coppell
State: Texas
ZIP Code: 75019-5068
Phone: (404) 427-8793

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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