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Jackie Earlene Primos, LMT
Massage Therapist in Merrillville, Indiana
NPI 1861254815

Jackie Earlene Primos is a Massage Therapist based in Gary, IN. Jackie Earlene Primos practices in Merrillville, IN and has the professional credentials of LMT. The NPI Number for Jackie Earlene Primos is 1861254815 and holds a License No. MT22308074 (Indiana).

The current practice location address for Jackie Earlene Primos is 7895 Broadway Ste D, Merrillville, IN and can be reached out via phone at 219-440-6612. You can also correspond with Jackie Earlene Primos through the mailing address at 1952 W 2ND AVE, GARY, IN - 46404-1108 (mailing address contact number: 219-794-4626).

Location: 7895 Broadway Ste D, Merrillville, IN, 46404-1108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861254815
Provider Name
Jackie Earlene Primos
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
7895 Broadway Ste D, Merrillville, IN, 46404-1108
Phone Number
219-440-6612
Fax Number
Provider Enumeration Date
01/25/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7895 Broadway Ste D
City
Merrillville
State
Indiana
Zip
46410-5529
Phone Number
219-440-6612
Fax Number
person
Provider Business Mailing Address Details
Address
7895 Broadway Ste D
City
Merrillville
State
Indiana
Zip
46410-5529
Phone Number
219-440-6612
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT22308074 (Indiana)
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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