Individual
MRS. SHERRY A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, NCTMB, LMT, MLDC
Contact information
Practice address
920 PIERREMONT RD STE 108, SHREVEPORT, LA 71106-2093
(318) 686-0035
Mailing address
920 PIERREMONT RD STE 108, SHREVEPORT, LA 71106-2093
(318) 686-0035
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA3781
LA
Other
Enumeration date
11/02/2010
Last updated
08/24/2022
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