MS. ELIZABETH A JACKSON LIC. MASSAGE THERAPI NPI 1104091784

NPI Information

MS. Elizabeth A Jackson, LIC. MASSAGE THERAPI is a specialist in Portland, ME. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Elizabeth A Jackson, LIC. MASSAGE THERAPI NPI is 1104091784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

94 AUBURN ST STE 106
PORTLAND, ME
ZIP 04103-141
Phone: (207) 878-3003
Fax: (207) 878-3004

The enumeration date for this NPI number is 4/24/2008 and was last updated on 12/8/2008.

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:

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