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Kodi Jackson, LMT
Massage Therapist in Cibolo, Texas
NPI 1710562863

Kodi Jackson is a Massage Therapist based in Cibolo, TX. Kodi Jackson practices in Cibolo, TX and has the professional credentials of LMT. The NPI Number for Kodi Jackson is 1710562863 and holds a License No. MT127777 (Texas).

The current practice location address for Kodi Jackson is 248 Kipper Ave, Cibolo, TX and can be reached out via phone at 210-315-7510.

Location: 248 Kipper Ave, Cibolo, TX, 78108-4324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710562863
Provider Name
Kodi Jackson
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
248 Kipper Ave, Cibolo, TX, 78108-4324
Phone Number
210-315-7510
Fax Number
Provider Enumeration Date
03/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
248 Kipper Ave
City
Cibolo
State
Texas
Zip
78108-4324
Phone Number
210-315-7510
Fax Number
person
Provider Business Mailing Address Details
Address
248 Kipper Ave
City
Cibolo
State
Texas
Zip
78108-4324
Phone Number
210-315-7510
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT127777 (Texas)
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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