Individual
COURTNEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1934 S GLENSTONE AVE, SPRINGFIELD, MO 65804-2305
(417) 751-0678
Mailing address
1934 S GLENSTONE AVE, SPRINGFIELD, MO 65804-2305
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
MO
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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