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Corrine R Jackson, LMT
Massage Therapist in Buffalo, New York
NPI 1952187882

Corrine R Jackson is a Massage Therapist based in Buffalo, NY. Corrine R Jackson practices in Buffalo, NY and has the professional credentials of LMT. The NPI Number for Corrine R Jackson is 1952187882 and holds a License No. 030743 (New York).

The current practice location address for Corrine R Jackson is 474 Niagara Falls Blvd Ste 4, Buffalo, NY and can be reached out via phone at 716-235-1338.

Location: 474 Niagara Falls Blvd Ste 4, Buffalo, NY, 14215-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952187882
Provider Name
Corrine R Jackson
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
474 Niagara Falls Blvd Ste 4, Buffalo, NY, 14215-1809
Phone Number
716-235-1338
Fax Number
Provider Enumeration Date
09/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
474 Niagara Falls Blvd Ste 4
City
Buffalo
State
New York
Zip
14223-2647
Phone Number
716-235-1338
Fax Number
person
Provider Business Mailing Address Details
Address
474 Niagara Falls Blvd Ste 4
City
Buffalo
State
New York
Zip
14223-2647
Phone Number
716-235-1338
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
030743 (New York)
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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