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Calvin Jackson
Massage Therapist in Monroe, Washington
NPI 1053701003

Calvin Jackson is a Massage Therapist based in Mill Creek, WA. Calvin Jackson practices in Monroe, WA. The NPI Number for Calvin Jackson is 1053701003 and holds a License No. MA60431582 (Washington).

The current practice location address for Calvin Jackson is 101 E Main St, Monroe, WA and can be reached out via phone at 360-863-0642 and via fax at 360-794-7236.

Location: 101 E Main St, Monroe, WA, 98082-2072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053701003
Provider Name
Calvin Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 E Main St, Monroe, WA, 98082-2072
Phone Number
360-863-0642
Fax Number
360-794-7236
Provider Enumeration Date
01/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 E Main St
City
Monroe
State
Washington
Zip
98272-1519
Phone Number
360-863-0642
Fax Number
360-794-7236
person
Provider Business Mailing Address Details
Address
101 E Main St
City
Monroe
State
Washington
Zip
98272-1519
Phone Number
360-863-0642
Fax Number
360-794-7236
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60431582 (Washington)
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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