Catherine Jackson

NPI #1720494081 in Callao, Virginia

Provider Information

NPI Number: 1720494081
Entity Type: Individual
Name: Catherine Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jul 8, 2014
Last Updated: Jul 8, 2014

Practice Location

Address: 765 NORTHUMBERLAND HWY
City: Callao
State: Virginia
ZIP Code: 22435-2206
Phone: (804) 529-5178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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