Individual
JESSICA LENAE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(816) 377-8665
Mailing address
800 E 101ST TER STE 350, KANSAS CITY, MO 64131-5310
(816) 377-8665
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2019002646
MO
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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