Jackson, Theresa Y

Jackson, Theresa Y is an individual health care provider with primary practice located at 1803 Boulevard , Jacksonville FL 32206-4342. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Jackson, Theresa Y can be contacted via phone (904) 236-4619.

Contact Information

Primary practice address
1803 Boulevard Jacksonville FL 32206-4342
Phone: (904) 236-4619
Fax: (904) 236-6187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA48068 Florida

Profile Details

NPI number 1841486289
LBN Legal business name Jackson, Theresa Y
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 2007 - about 17 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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