Toni M. Jackson, NCTMB
Toni M. Jackson, NCTMB is a Military Health Care Provider in East Saint Louis, Illinois. Licensed in Missouri. Registered with an NPI since 2009.
- Licensed in
- MO
- In the registry since
- 2009
- Specialties on file
- 5
Practice location Address checks out
4806 State St Home OfcEast Saint Louis, IL 62205-1355
Phone: (618) 225-2777
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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 2005015267 (MO) |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X |
| Rehabilitation Practitioner | Taxonomy 225400000X |
| Recreational Therapist Assistant | Taxonomy 226000000X |
| Kinesiotherapist | Taxonomy 226300000X |
Record details
| NPI number | 1376871103 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NCTMB |
| Sole proprietor | No |
| NPI enumerated | December 7, 2009 |
| Last updated in NPPES | February 25, 2021 |
| Certification date | February 25, 2021 |
| Mailing address | 4806 State St, Home Office, East Saint Louis, IL 62205-1355 |
Other providers in East Saint Louis
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Laquesa Ronesha Stringfellow
1804 N 38th St, East Saint Louis, IL 62204-1836 · (618) 792-3614