person
Trevor Brandon Jackson, MT
Massage Therapist in Columbia, South Carolina
NPI 1356003552

Trevor Brandon Jackson is a Massage Therapist based in Columbia, SC. Trevor Brandon Jackson practices in Columbia, SC and has the professional credentials of MT. The NPI Number for Trevor Brandon Jackson is 1356003552 and holds a License No. 10033 (South Carolina).

The current practice location address for Trevor Brandon Jackson is 1631 Main St Columbia Sc, Columbia, SC and can be reached out via phone at 803-310-2793.

Location: 1631 Main St Columbia Sc, Columbia, SC, 29223
person
Provider Profile Details
NPI Number
1356003552
Provider Name
Trevor Brandon Jackson
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
1631 Main St Columbia Sc, Columbia, SC, 29223
Phone Number
803-310-2793
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1631 Main St Columbia Sc
City
State
Zip
29223
Phone Number
803-310-2793
Fax Number
person
Provider Business Mailing Address Details
Address
1631 Main St Columbia Sc
City
State
Zip
29223
Phone Number
803-310-2793
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
10033 (South Carolina)
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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