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David Edward Jackson III, CMT
Massage Therapist in Lake Station, Indiana
NPI 1275711350

David Edward Jackson III is a Massage Therapist based in Lake Station, IN. David Edward Jackson III practices in Lake Station, IN and has the professional credentials of CMT. The NPI Number for David Edward Jackson III is 1275711350 and holds a License No. (Indiana).

The current practice location address for David Edward Jackson III is 3321 E 35Th Ave, Lake Station, IN and can be reached out via phone at 219-714-4100.

Location: 3321 E 35Th Ave, Lake Station, IN, 46405-3016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275711350
Provider Name
David Edward Jackson III
Credential
CMT
Provider Entity Type
Individual
Gender
Male
Address
3321 E 35Th Ave, Lake Station, IN, 46405-3016
Phone Number
219-714-4100
Fax Number
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3321 E 35Th Ave
City
Lake Station
State
Indiana
Zip
46405-3016
Phone Number
219-714-4100
Fax Number
person
Provider Business Mailing Address Details
Address
3321 E 35Th Ave
City
Lake Station
State
Indiana
Zip
46405-3016
Phone Number
219-714-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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