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:
Health care specialties
| Specialty | Code | License # | 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 18 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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