MISS Sonni Lee Jackson, LMT

NPI #1811466469 in New Castle, Colorado

Provider Information

NPI Number: 1811466469
Entity Type: Individual
Name: MISS Sonni Lee Jackson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 13, 2018
Last Updated: Nov 13, 2018

Practice Location

Address: 151 E CLUBHOUSE DR
City: New Castle
State: Colorado
ZIP Code: 81647-9424
Phone: (970) 618-7537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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