Miranda Jacko

NPI #1740159656 in Lithonia, Georgia

Provider Information

NPI Number: 1740159656
Entity Type: Individual
Name: Miranda Jacko
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Oct 30, 2025
Last Updated: Oct 30, 2025

Practice Location

Address: 7245 ROCKBRIDGE RD STE 600
City: Lithonia
State: Georgia
ZIP Code: 30058-8615
Phone: (470) 415-0471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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