MS. Susan R. Renee Jackson, LMP

NPI #1902047954 in Tumwater, Washington

Provider Information

NPI Number: 1902047954
Entity Type: Individual
Name: MS. Susan R. Renee Jackson, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Mar 19, 2009
Last Updated: Mar 19, 2009

Practice Location

Address: 511 N 7TH AVE SW
City: Tumwater
State: Washington
ZIP Code: 98512-6305
Phone: (360) 790-9195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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