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Kim B Jackson
Massage Therapist in Glen Cove, New York
NPI 1003415464

Kim B Jackson is a Massage Therapist based in Elmont, NY. Kim B Jackson practices in Glen Cove, NY. The NPI Number for Kim B Jackson is 1003415464 and holds a License No. 028858 (New York).

The current practice location address for Kim B Jackson is 29 Glen Cove Ave Ste 212, Glen Cove, NY and can be reached out via phone at 516-384-7670.

Location: 29 Glen Cove Ave Ste 212, Glen Cove, NY, 11003-3816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003415464
Provider Name
Kim B Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
29 Glen Cove Ave Ste 212, Glen Cove, NY, 11003-3816
Phone Number
516-384-7670
Fax Number
Provider Enumeration Date
10/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29 Glen Cove Ave Ste 212
City
Glen Cove
State
New York
Zip
11542-2831
Phone Number
516-384-7670
Fax Number
person
Provider Business Mailing Address Details
Address
29 Glen Cove Ave Ste 212
City
Glen Cove
State
New York
Zip
11542-2831
Phone Number
516-384-7670
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
028858 (New York)
Definition
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.
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