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Ms. Susan R. Renee Jackson, LMP
Massage Therapist in Tumwater, Washington
NPI 1902047954

Susan R. Renee Jackson is a Massage Therapist based in Tumwater, WA. Susan R. Renee Jackson practices in Tumwater, WA and has the professional credentials of LMP. The NPI Number for Susan R. Renee Jackson is 1902047954 and holds a License No. MA60073078 (Washington).

The current practice location address for Susan R. Renee Jackson is 511 N 7Th Ave Sw, Tumwater, WA and can be reached out via phone at 360-790-9195.

Location: 511 N 7Th Ave Sw, Tumwater, WA, 98512-6305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902047954
Provider Name
Susan R. Renee Jackson
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
511 N 7Th Ave Sw, Tumwater, WA, 98512-6305
Phone Number
360-790-9195
Fax Number
Provider Enumeration Date
03/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
511 N 7Th Ave Sw
City
Tumwater
State
Washington
Zip
98512-6305
Phone Number
360-790-9195
Fax Number
person
Provider Business Mailing Address Details
Address
511 N 7Th Ave Sw
City
Tumwater
State
Washington
Zip
98512-6305
Phone Number
360-790-9195
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60073078 (Washington)
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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