Tinisha Simone Jackson, LMT
NPI #1972106839 in Farmington, Michigan
Provider Information
- NPI Number
- 1972106839
- Entity Type
- Individual
- Name
- Tinisha Simone Jackson, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Nov 20, 2020
- Last Updated
- Nov 20, 2020
Practice Location
- Address
- 35357 DRAKESHIRE LN APT 201
- City
- Farmington
- State
- Michigan
- ZIP Code
- 48335-3260
- Phone
- (248) 897-6724
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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