Individual
ALEXANDER JACKSON-MATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4906 FITZHUGH AVE STE 100, RICHMOND, VA 23230-3520
(614) 378-2722
Mailing address
3600 W BROAD ST UNIT 331, RICHMOND, VA 23230-4945
(614) 378-2722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1261000096
VA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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