person
Alicia J Jackson, MASSAGETHERAPIST
Massage Therapist in Oklahoma City, Oklahoma
NPI 1902245988

Alicia J Jackson is a Massage Therapist based in Edmond, OK. Alicia J Jackson practices in Oklahoma City, OK and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Alicia J Jackson is 1902245988 and holds a License No. OCC04318 (Oklahoma).

The current practice location address for Alicia J Jackson is 11200 N Portland Ave, Oklahoma City, OK and can be reached out via phone at 405-936-1550 and via fax at 405-936-1559. You can also correspond with Alicia J Jackson through the mailing address at 508 BRIGHTON DR, EDMOND, OK - 73003-3169 (mailing address contact number: 405-204-0505).

Location: 11200 N Portland Ave, Oklahoma City, OK, 73003-3169
person
Provider Profile Details
NPI Number
1902245988
Provider Name
Alicia J Jackson
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
11200 N Portland Ave, Oklahoma City, OK, 73003-3169
Phone Number
405-936-1550
Fax Number
405-936-1559
Provider Enumeration Date
06/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11200 N Portland Ave
City
State
Zip
73120-5045
Phone Number
405-936-1550
Fax Number
405-936-1559
person
Provider Business Mailing Address Details
Address
508 Brighton Dr
City
State
Zip
73003-3169
Phone Number
405-204-0505
Fax Number
405-936-1559
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
OCC04318 (Oklahoma)
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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