MRS. JUDY ELAINE JACKSON LMT NPI 1255098869

NPI Information

NPI: 1255098869
Provider Name: MRS. JUDY ELAINE JACKSON, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
604 W 11TH ST
QUANAH, TX
ZIP 79252
Phone: (940) 839-9301
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MRS. Judy Elaine Jackson, LMT is a massage therapist in Quanah, TX. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MRS. Judy Elaine Jackson, LMT NPI is 1255098869. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

604 W 11TH ST
QUANAH, TX
ZIP 79252-412
Phone: (940) 839-9301

The enumeration date for this NPI number is 11/18/2021 and was last updated on 11/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT135656	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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