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Phyliss L Jackson, LCMT,HE
Massage Therapist in Roseville, California
NPI 1326672494

Phyliss L Jackson is a Massage Therapist based in Sacramento, CA. Phyliss L Jackson practices in Roseville, CA and has the professional credentials of LCMT,HE. The NPI Number for Phyliss L Jackson is 1326672494 and holds a License No. 80744 (California).

The current practice location address for Phyliss L Jackson is 1 Adventist Health Way, Roseville, CA and can be reached out via phone at 916-406-0177.

Location: 1 Adventist Health Way, Roseville, CA, 95834-7940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326672494
Provider Name
Phyliss L Jackson
Credential
LCMT,HE
Provider Entity Type
Individual
Gender
Female
Address
1 Adventist Health Way, Roseville, CA, 95834-7940
Phone Number
916-406-0177
Fax Number
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B4915041 05 CA
institution
Provider Business Practice Location Address Details
Address
1 Adventist Health Way
City
Roseville
State
California
Zip
95661-3266
Phone Number
916-406-0177
Fax Number
person
Provider Business Mailing Address Details
Address
1 Adventist Health Way
City
Roseville
State
California
Zip
95661-3266
Phone Number
916-406-0177
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
80744 (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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