Individual
MRS. JUDY ELAINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
604 W 11TH ST, QUANAH, TX 79252-5412
(940) 839-9301
Mailing address
604 W 11TH ST, QUANAH, TX 79252-5412
(940) 839-9301
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135656
TX
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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