Wilson, Jackie

Wilson, Jackie is an sole proprietor health care provider with primary practice located at 1019 N Range Ave Suite B, Denham Springs LA 70726-2407. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Reflexologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Wilson, Jackie can be contacted via phone (225) 791-8154.

Contact Information

Primary practice address
1019 N Range Ave Suite B Denham Springs LA 70726-2407
Phone: (225) 791-8154
Fax: (225) 791-8152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Reflexologist 173C00000X 1169 Louisiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 1169 Louisiana

Profile Details

NPI number 1356628325
LBN Legal business name Wilson, Jackie
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2011
Last updated Nov 4th, 2011 - about 14 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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