Individual
NATASHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT, MFRT
Contact information
Practice address
2930 HARVEY ST, ROCHESTER HILLS, MI 48309-3641
(248) 895-0095
Mailing address
2930 HARVEY ST, ROCHESTER HILLS, MI 48309-3641
(248) 895-0095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
L422574
MI
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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