Kim B Jackson
Kim B Jackson is a Massage Therapist in Glen Cove, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2020
Practice location Address checks out
29 Glen Cove Ave Ste 212Glen Cove, NY 11542-2831
Phone: (516) 384-7670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 028858 (NY) |
|---|
Record details
| NPI number | 1003415464 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2020 |
| Last updated in NPPES | October 18, 2020 |
| Certification date | October 18, 2020 |
| Mailing address | 1360 C St, Elmont, NY 11003-3816 |
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