person
Kathlyn Tan Jackson, MT
Massage Therapist in Fountain Valley, California
NPI 1205421526

Kathlyn Tan Jackson is a Massage Therapist based in Santa Ana, CA. Kathlyn Tan Jackson practices in Fountain Valley, CA and has the professional credentials of MT. The NPI Number for Kathlyn Tan Jackson is 1205421526 and holds a License No. 39797 (California).

The current practice location address for Kathlyn Tan Jackson is 11770 Warner Ave Ste 123, Fountain Valley, CA and can be reached out via phone at 714-277-7169.

Location: 11770 Warner Ave Ste 123, Fountain Valley, CA, 92703-2553
person
Provider Profile Details
NPI Number
1205421526
Provider Name
Kathlyn Tan Jackson
Credential
MT
Provider Entity Type
Individual
Gender
Female
Address
11770 Warner Ave Ste 123, Fountain Valley, CA, 92703-2553
Phone Number
714-277-7169
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11770 Warner Ave Ste 123
City
State
Zip
92708-2660
Phone Number
714-277-7169
Fax Number
person
Provider Business Mailing Address Details
Address
11770 Warner Ave Ste 123
City
State
Zip
92708-2660
Phone Number
714-277-7169
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
39797 (California)
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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