Individual
PHYLISS L JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT,HE
Contact information
Practice address
1 ADVENTIST HEALTH WAY, ROSEVILLE, CA 95661-3266
(916) 406-0177
Mailing address
2201 ARENA BLVD APT 7106, SACRAMENTO, CA 95834-7940
(916) 706-9892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4915041
—
CA
Enumeration date
02/27/2020
Last updated
02/27/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us