Jackson, Kodi

Jackson, Kodi is an sole proprietor health care provider with primary practice located at 248 Kipper Ave , Cibolo TX 78108-4324. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Jackson, Kodi can be contacted via phone (210) 315-7510.

Contact Information

Primary practice address
248 Kipper Ave Cibolo TX 78108-4324
Phone: (210) 315-7510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT127777 Texas

Profile Details

NPI number 1710562863
LBN Legal business name Jackson, Kodi
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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