Ronald Joseph Jackson, L.M.T.

NPI #1972732717 in Pagosa Springs, Colorado

Provider Information

NPI Number: 1972732717
Entity Type: Individual
Name: Ronald Joseph Jackson, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Jul 14, 2009
Last Updated: Jul 14, 2009

Practice Location

Address: 450 LEWIS ST.
City: Pagosa Springs
State: Colorado
ZIP Code: 81147
Phone: (970) 264-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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